| Mr Todd David Ikenberry, PA-C | |
|
10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | |
| (727) 398-6661 | |
| Not Available |
| Full Name | Mr Todd David Ikenberry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 10000 Bay Pines Blvd, Bay Pines, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760649982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 011911 (New York) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9105419 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Todd David Ikenberry, PA-C 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 Ph: (727) 398-6661 | Mr Todd David Ikenberry, PA-C 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 Ph: (727) 398-6661 |
Ms. Vanessa Yoder Jewell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Boulevard, Suite 112, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Nicholas Sensenig, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Mrs. Johnell M Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33708 Phone: 727-398-6661 | |
Mr. Jeffrey Tinsley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Lisa Marie Kettlestrings, PA -C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 Fax: 727-319-1003 | |
Mr. James Nmi Dandrea, PHYSICIAN ASST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 Fax: 727-319-7786 | |
James J Shear, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 |