NPI 1124668967 · live from the CMS NPI Registry
Melissa Nicole Aguilera, PA-C
Physician Assistant in Tampa, FL. National Provider Identifier 1124668967, active.
NPI record
| NPI | 1124668967 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 12902 Usf Magnolia Dr, Tampa, FL 33612 |
| Practice phone | 813-745-4673 |
| Mailing address | Po Box 98441, Atlanta, GA 30384 |
| Enumerated | January 9, 2020 |
| Last updated | September 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA9112897 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.