Individual
ANYA MANCINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 W CLEVELAND ST, TAMPA, FL 33606-1913
(813) 425-5005
Mailing address
5145 S DALE MABRY HWY UNIT 14108, TAMPA, FL 33611-3594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119221
FL
Other
Enumeration date
09/19/2024
Last updated
10/28/2024
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