TANNELLE MCDOUGLE

ST PETERSBURG, FL
NPI1407296197
Former NameTANNELLE CLARKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9107285)
Enumeration Date2013-06-27
Last Update Date2026-02-05
Business Address
TANNELLE MCDOUGLE PA
4260 CENTRAL AVE
ST PETERSBURG, FL 33711-1140
Phone number: 727-339-5496
Mailing Address
TANNELLE MCDOUGLE PA
4260 CENTRAL AVE
ST PETERSBURG, FL 33711-1140
Phone number: 727-339-5496
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