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

Miss. Trisha Lynn Blake-Popham, PA-C

Individual provider Surgical Physician Assistant · NPI 1801334362

Miss. Trisha Lynn Blake-Popham, PA-C is a Surgical Physician Assistant in Tampa, Florida. Licensed in Connecticut and Florida. Registered with an NPI since 2017.

Licensed in
CT, FL
In the registry since
2017
Specialties on file
2
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

409 Bayshore Blvd
Tampa, FL 33606-2707
Phone: (813) 844-5470
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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 PA9113106 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3772 (CT)

Record details

NPI number1801334362
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2017
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

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