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

Lucas Willyard

Individual provider Physician Assistant · NPI 1609761287

Lucas Willyard is a Physician Assistant in Tampa, Florida. Qualified in 2025, 1 year ago. Practices with University Medical Service Association Inc, a 824-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025

Practice location Address checks out

1 Tampa General Cir
Tampa, FL 33606-3571
Phone: (813) 844-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9119850 (FL)

Record details

NPI number1609761287
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing addressPo Box 917770, Orlando, FL 32891-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Medical Service Association Inc — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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