Individual
TANNELLE MCDOUGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4260 CENTRAL AVE, ST PETERSBURG, FL 33711-1140
(727) 339-5496
(727) 361-6247
Mailing address
4260 CENTRAL AVE, ST PETERSBURG, FL 33711-1140
(727) 339-5496
(727) 361-6247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107285
FL
Other
Enumeration date
06/27/2013
Last updated
02/05/2026
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