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

MS. Gwendolyn Bruch Michaelman, PA

Individual provider Medical Physician Assistant · NPI 1619094174

MS. Gwendolyn Bruch Michaelman, PA is a Medical Physician Assistant in Tampa, Florida. Licensed in Connecticut and Florida. Registered with an NPI since 2007.

Licensed in
CT, FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone: (813) 870-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9104166 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence Q62542 (CT)

Record details

NPI number1619094174
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESJune 30, 2008

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