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

Mrs. Theresa Marie Thiele, PAC

Individual provider Physician Assistant · NPI 1922023639

Mrs. Theresa Marie Thiele, PAC is a Physician Assistant in Apollo Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

101 Flamingo Dr Ste A
Apollo Beach, FL 33572-2600
Phone: (813) 645-7502
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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 PA9101357 (FL)

Record details

NPI number1922023639
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

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