Provider Demographics
NPI:1144272428
Name:FINLAY, MARJORIE ANN (PA)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:ANN
Last Name:FINLAY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3250 ZEMKE AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33621-5023
Mailing Address - Country:US
Mailing Address - Phone:813-827-9805
Mailing Address - Fax:813-827-1512
Practice Address - Street 1:3250 ZEMKE AVE
Practice Address - Street 2:6MDG/SGXP
Practice Address - City:MACDILL AFB
Practice Address - State:FL
Practice Address - Zip Code:33621
Practice Address - Country:US
Practice Address - Phone:813-827-9805
Practice Address - Fax:813-827-1512
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9103165363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ41020Medicare UPIN