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

Mark A. Daicoff, PA-C

Individual provider Surgical Physician Assistant · NPI 1184282907

Mark A. Daicoff, PA-C is a Physician Assistant in St Petersburg, Florida. Qualified in 2019, 7 years ago. Practices with Ohi West Medical Group LLC, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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

601 7th St S Ste 205
St Petersburg, FL 33701-4748
Phone: (727) 893-6235
Fax: (727) 553-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4600 4th St N, St Petersburg, FL 33703-3802 — (727) 527-5272

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9112118 (FL)

Record details

NPI number1184282907
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ohi West Medical Group Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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