Individual
GRACE RASHAE DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
4238 W KENNEDY BLVD, TAMPA, FL 33609-2231
(813) 879-6040
(813) 884-5616
Mailing address
5210 WEBB RD, TAMPA, FL 33615-4518
(813) 882-9986
(813) 884-5616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U1709W
MEDICARE
FL
Enumeration date
10/13/2005
Last updated
04/13/2016
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