Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH PAUL BOCCACCIO, PA-C

Active

KENNETH PAUL BOCCACCIO, PA-C is a Physician Assistant healthcare provider located in TAMPA, Florida. NPI 1194751255 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TAMPA, FL

Registration Details

NPI Number: 1194751255
Provider Type: Individual
Gender: Male
NPI Issued: Jun 23, 2006 (20.181852951054 yrs)
Last Updated: Jan 3, 2012
License: 102296 (NC)

Practice Information

Address: 12880 COMMODITY PLACE

TAMPA, FL, 336263101
Browse FL providers · Browse ZIP 33626
Phone: 8133435500
Fax: 8133435506
Primary Specialty: Physician Assistant
363A00000X

Other Physician Assistant Providers in TAMPA, FL

Name	Credential	NPI
MISS TARA LYNN TINGLER	PAC	1982609715
MS. LISA ALBERO	PA	1013913599
CHRISTOPHER JOHN CARLISLE	PA-C	1477559375
ANN TRAN	PA	1407855430
MRS. CHRISTA R. HODGES	PA-C	1942295100
MRS. SARAH N LOGAN	PA	1942296967

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.