Maria Victoria Tindal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105045 Issued in FL

Practice address

7628 Charleston St
University Park, FL 34201-2096

Phone

(941) 323-9228

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Maria Victoria Kyllonen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1841428653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7628 CHARLESTON ST",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012096",
            "telephone_number": "941-323-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7628 CHARLESTON ST",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012096",
            "telephone_number": "941-323-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDAL",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "KYLLONEN",
            "middle_name": "VICTORIA",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hermela Tekelemariam
• Taylor Thomas, MA, BCBA
• Madeline Diane Thompson Klugmann
• Lea Thompson
• Jennifer Tiernan, LMT
• Tyler Tocci
• Reilly Tough, RBT
• Vu Hoang Tran, DMD
• John Tucker, LMT, CNMT
• Thomas E Turek, M.D.

• Physician Assistant in University Park, FL
• Providers in University Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.