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

Individual provider Physician Assistant · NPI 1194751255

Kenneth Paul Boccaccio, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 1991, 35 years ago. Practices with Duke Health Integrated Practice Inc, a 3,094-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
35
Licensed in
NC
In the registry since
2006
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: (813) 343-5506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102296 (NC)

Record details

NPI number1194751255
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJanuary 3, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Duke Health Integrated Practice Inc — 3094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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