Individual
ISABEL ELENA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
(813) 449-6713
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007894
VA
363A00000X
Physician Assistant
Primary
PA9120577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025047600
—
FL
Enumeration date
05/23/2018
Last updated
01/09/2026
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