Individual
NICOLE M SCHWENSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1753-23
WI
363A00000X
Physician Assistant
4056
CO
363AS0400X
Surgical Physician Assistant
1753-023
WI
363AS0400X
Surgical Physician Assistant
Primary
PA9120344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027170
KAISER COMMERCIAL NUMBER
CO
05
—
127525300
—
FL
05
—
1467415273
—
WI
01
—
1JQZK
BCBS
FL
05
—
41992700
—
WI
05
—
98476343
—
CO
Enumeration date
04/11/2006
Last updated
12/07/2025
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