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

Mr. Justin Fenner Letourneau, PA-C

Individual provider Medical Physician Assistant · NPI 1861710923

Mr. Justin Fenner Letourneau, PA-C is a Physician Assistant in St Petersburg, Florida. Qualified in 2011, 15 years ago. Practices with Walter G Griffith Jr MD PA, a 7-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2010
Specialties on file
3
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

5565 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-1203
Phone: (727) 577-1203
Fax: (727) 577-0893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5860 Ranch Lake Blvd, Bradenton, FL 34202-3708 — (941) 388-8997
  • 16461 Domestic Ave, Fort Myers, FL 33912-6008 — (877) 266-7768

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108503 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9108503 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1861710923
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 13, 2010
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Walter G Griffith Jr Md Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in St Petersburg