| Mr Thomas Glen Hettich, PA-C | |
|
3250 Zemke Ave, Attn: Soccent Clinic, Tampa, FL 33621-5023 | |
| (813) 827-9213 | |
| (813) 827-1319 |
| Full Name | Mr Thomas Glen Hettich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3250 Zemke Ave, Tampa, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992765747 | NPI | - | NPPES |
| 1049243 | Other | NCCPA CERTIFICATION NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9108323 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Glen Hettich, PA-C 3534 Diaz St, Trinity, FL 34655-2163 Ph: (727) 644-2597 | Mr Thomas Glen Hettich, PA-C 3250 Zemke Ave, Attn: Soccent Clinic, Tampa, FL 33621-5023 Ph: (813) 827-9213 |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929 | |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768 | |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877 | |
Mr. Anthony Bromagen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12880 Commodity Pl, Tampa, FL 33626 Phone: 813-343-5500 Fax: 813-343-5506 | |
Lauren N. Yates, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16646 North Dale Mabry Highway, Tampa, FL 33618 Phone: 813-908-5253 Fax: 813-355-5895 | |
Mr. Eddy Jose Lopez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4507 N Armenia Ave, Tampa, FL 33603 Phone: 813-876-4100 Fax: 813-876-4153 | |
Ms. Lisa Albero, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 |