Tisha L Bridge, PA-C

NPI #1982833745 in Fort Pierce, Florida

Provider Information

NPI Number: 1982833745
Entity Type: Individual
Name: Tisha L Bridge, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 14, 2009
Last Updated: Feb 27, 2025

Practice Location

Address: 5000 SUITE B OKEECHOBEE ROAD
City: Fort Pierce
State: Florida
ZIP Code: 34947
Phone: (772) 464-6551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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