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

MS. Allyssa Nicole Koerber, PA-C

Individual provider Medical Physician Assistant · NPI 1538782321

MS. Allyssa Nicole Koerber, PA-C is a Medical Physician Assistant in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
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

3953 S Nova Rd Ste B
Port Orange, FL 32127-4910
Phone: (386) 788-4911
Fax: (844) 388-6186
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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 PA9115064 (FL)
Medical Physician Assistant Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538782321
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESOctober 27, 2021
Certification dateOctober 7, 2021

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