Blake-Popham, Trisha Lynn

Blake-Popham, Trisha Lynn is an individual health care provider with primary practice located at 409 Bayshore Blvd , Tampa FL 33606-2707. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Blake-Popham, Trisha Lynn can be contacted via phone (813) 844-5470.

Contact Information

Primary practice address
409 Bayshore Blvd Tampa FL 33606-2707
Phone: (813) 844-5470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3772 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113106 Florida

Profile Details

NPI number 1801334362
LBN Legal business name Blake-Popham, Trisha Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2017
Last updated Jun 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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