Individual
GRACE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(813) 873-6400
Mailing address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(813) 873-6400
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/04/2026
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