Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Adam Conrad, PA-C

Individual provider Surgical Physician Assistant · NPI 1942557178

Jordan Adam Conrad, PA-C is a Surgical Physician Assistant in Tampa, Florida. Licensed in Connecticut and Florida. Registered with an NPI since 2012.

Licensed in
CT, FL
In the registry since
2012
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

12880 Commodity Pl
Tampa, FL 33626-3101
Phone: (813) 343-5500
Fax: (866) 462-7445
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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 PA9107357 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 002789 (CT)

Record details

NPI number1942557178
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESOctober 10, 2013

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