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

Lin My Phan, PA-C

Individual provider Physician Assistant · NPI 1366260002

Lin My Phan, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
2
In the registry since
2024
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 200
Tampa, FL 33606-3578
Phone: (813) 250-9101
Fax: (813) 844-4952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 162 Hillside Dr, South Windsor, CT 06074-1306 — (860) 944-5680

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1366260002
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 1, 2024
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address5 Tampa General Cir Ste 200, Tampa, FL 33606-3578

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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