| Grace Diana Tice, PA-C | |
|
1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948-1018 | |
| (941) 629-6262 | |
| Not Available |
| Full Name | Grace Diana Tice |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1641 Tamiami Trl Ste 1, Port Charlotte, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104541937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9116492 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Diana Tice, PA-C 1235 Augusta St E, Lehigh Acres, FL 33974-0728 Ph: () - | Grace Diana Tice, PA-C 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948-1018 Ph: (941) 629-6262 |
Grace Colarossi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948 Phone: 941-629-6262 | |
Mrs. Susan Jane Nolan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
Iris Jeanne Swiderski, DHSC, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 | |
Mr. Brian R Webster, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 530 Tamiami Trail, Port Charlotte, FL 33953 Phone: 941-391-5296 Fax: 941-391-5297 | |
Sara Elizabeth Wainwright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 855-979-5700 | |
Danielle Emery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3611 Tamiami Trl Ste B, Port Charlotte, FL 33952 Phone: 941-235-0542 Fax: 941-235-0545 |