| Tiara Lei Funkhouser, PA | |
|
463380 State Road 200 Unit B, Yulee, FL 32097-3240 | |
| (904) 500-9808 | |
| (904) 432-0401 |
| Full Name | Tiara Lei Funkhouser |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 463380 State Road 200 Unit B, Yulee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306578786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tiara Lei Funkhouser, PA 705 Wells Rd Ste 300, Orange Park, FL 32073-2982 Ph: (904) 282-6331 | Tiara Lei Funkhouser, PA 463380 State Road 200 Unit B, Yulee, FL 32097-3240 Ph: (904) 500-9808 |
Jimmie Stone, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-633-0670 | |
Joshua Woodin, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 463832 Sr 200, Yulee, FL 32097 Phone: 904-225-2311 Fax: 904-225-8481 | |
Mrs. Megan Lynn Day, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-633-0670 Fax: 904-633-0671 | |
Evan James Leonard, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-633-0670 | |
Sharon Renee Lettsome, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 463142 Sr 200, Yulee, FL 32097 Phone: 904-225-8280 | |
Jacob Wesley Groseth, DPT Physician Assistant Medicare: Medicare Enrolled Practice Location: 463688 State Road 200 Ste 9, Yulee, FL 32097 Phone: 904-261-4414 |