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

Marisa Benedict, PA-C

Individual provider Physician Assistant · NPI 1174333868

Marisa Benedict, PA-C is a Physician Assistant in Saint Petersburg, Florida. Qualified in 2024, 2 years ago. Practices with Professional Urgent Care Services, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
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

640 Tyrone Blvd N
Saint Petersburg, FL 33710-7126
Phone: (727) 605-5591
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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 PA9119512 (FL)

Record details

NPI number1174333868
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address1001 Country Club Rd N, Saint Petersburg, FL 33710-4406

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)
Group practice Professional Urgent Care Services — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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