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

Eric Nordstrom

Individual provider Medical Physician Assistant · NPI 1639828106

Eric Nordstrom is a Physician Assistant in Tampa, Florida. Qualified in 2022, 4 years ago. Practices with Adventhealth Primary Care Network Inc, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

10987 Sheldon Rd Ste 200
Tampa, FL 33626-4702
Phone: (813) 467-4800
Fax: (813) 467-4252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11404 Palm Pasture Dr, Tampa, FL 33635-6317 — (813) 495-1055

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115968 (FL)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1639828106
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Adventhealth Primary Care Network Inc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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