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MCKENNA MICHELLE O'SHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5 TAMPA GENERAL CIR, TAMPA, FL 33606-3601
(517) 945-3459
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9118636
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122176000
FL
01
AIEVF
BCBS
FL
Enumeration date
03/04/2024
Last updated
03/26/2025
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