| Nikol Vanessa Passaglia, | |
| 
					19203 N Dale Mabry Hwy, Lutz, FL 33548-5067  | |
| (813) 397-5300 | |
| (813) 726-0368 | 
| Full Name | Nikol Vanessa Passaglia | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 19203 N Dale Mabry Hwy, Lutz, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710578042 | NPI | - | NPPES | 
| PAT9117469 | Other | FL | MEDICAL LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | PAT9117469 (Florida) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nikol Vanessa Passaglia, Po Box 82969, Tampa, FL 33682-2969 Ph: (813) 866-0930  | Nikol Vanessa Passaglia, 19203 N Dale Mabry Hwy, Lutz, FL 33548-5067 Ph: (813) 397-5300  | 
Mrs. Jennifer Lynn Call, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18928 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-909-1146 Fax: 813-909-4334  | |
Kendall Brodie Northcutt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1854 Oak Grove Blvd, Lutz, FL 33559 Phone: 813-471-9709 Fax: 813-681-1191  | |
Vivian Nia Koufogazos, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 18981 N Dale Mabry Hwy, Lutz, FL 33548 Phone: 813-388-5922  | |
Mrs. Karen Marie Wilcox, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19105 Us Highway 41n, Suite 100, Lutz, FL 33549 Phone: 813-269-2700  | |
James D Cardinale, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559 Phone: 813-948-3838 Fax: 813-949-0629  | |
Mr. Matthew Ryan Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21756 State Road 54 Ste 102a, Lutz, FL 33549 Phone: 813-493-4093 Fax: 656-444-7252  | |
Ky Dau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5332 Van Dyke Rd, Lutz, FL 33558 Phone: 813-960-1200 Fax: 813-441-7555  |