MRS. Theresa Marie Thiele, PAC

NPI #1922023639 in Apollo Beach, Florida

Provider Information

NPI Number: 1922023639
Entity Type: Individual
Name: MRS. Theresa Marie Thiele, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 13, 2006
Last Updated: Sep 7, 2022

Practice Location

Address: 101 FLAMINGO DR STE A
City: Apollo Beach
State: Florida
ZIP Code: 33572-2600
Phone: (813) 645-7502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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