Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Russell Modi, PA-C

Individual provider Physician Assistant · NPI 1326457920

Angela Russell Modi, PA-C is a Physician Assistant in Tampa, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2014.

Licensed in
FL, IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5 Tampa General Cir Ste 410
Tampa, FL 33606-3578
Phone: (813) 844-7473
Fax: (813) 844-1966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112371 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 085.005098 (IL)

Record details

NPI number1326457920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2014
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020

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