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MRS. LORALEE KOONTZ PA
NPI 1750490629
Physician Assistant in Tampa, FL

Active since August 30, 2006
2605 W. SWANN AVE, SUITE 300, TAMPA, FL 33609(813) 872-9551(813) 872-9554 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Loralee Koontz Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LORALEE KOONTZ PA (NPI 1750490629) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9101349) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1750490629
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LORALEE KOONTZCredential: PA
Location Address2605 W. SWANN AVE, SUITE 300Tampa, FL 33609-4039
Mailing Address2605 W. Swann Ave, Suite 300Tampa, FL 33609-4039 · (813) 872-9551 · Fax (813) 872-9554
Phone(813) 872-9551
Fax(813) 872-9554
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 11, 2012
✔ NPI 1750490629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9101349
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2605 W. SWANN AVE, Tampa, FL 33609
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Other Identifiers 3

Medicaid291750500FL
Medicare UPINP17680FL
Medicare ID-Type UnspecifiedE4795ZFL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loralee Koontz's NPI number?

The NPI number for Loralee Koontz is 1750490629. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Loralee Koontz located?

Loralee Koontz practices at 2605 W. Swann Ave Suite 300, Tampa, FL 33609. The listed phone number is (813) 872-9551.

What is Loralee Koontz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Loralee Koontz was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.