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

Heather C Bridge, PA

Individual provider Surgical Physician Assistant · NPI 1700055035

Heather C Bridge, PA is a Physician Assistant in Tampa, Florida. Qualified in 2007, 19 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12902 Magnolia Dr SRB4
Tampa, FL 33612
Phone: (813) 745-7853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PAT9104498 (FL)

Record details

NPI number1700055035
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 20, 2008
Last updated in NPPESJanuary 14, 2011
Mailing address12902 Magnolia Dr, Srb4, Tampa, FL 33612

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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