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

MS. Sheryllyn Boulay, PA-C

Individual provider Medical Physician Assistant · NPI 1063806834

MS. Sheryllyn Boulay, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2014, 12 years ago. Registered with an NPI since 2015.

Years since qualifying
12
In the registry since
2015
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

3001 W Dr Martin Luther King Jr Blvd 1st Fl Children's Adm
Tampa, FL 33607-6307
Phone: (813) 870-4619
Fax: (813) 554-8956
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1063806834
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 19, 2015
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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