Individual
MISS PATRICIA YVETTE DE TOMAS-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7431
(727) 553-7432
Mailing address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7431
(727) 553-7432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12043
NC
363AM0700X
Medical Physician Assistant
0010-12043
NC
363AM0700X
Medical Physician Assistant
Primary
PA9119526
FL
363AS0400X
Surgical Physician Assistant
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
10/07/2020
Last updated
11/03/2025
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