Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Simone Taijae Person Fort, PA-C

Individual provider Medical Physician Assistant · NPI 1134854813

Simone Taijae Person Fort, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2022, 4 years ago. Practices with Bluestone Physician Services Southeast LLC, a 24-clinician group. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2
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

10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727
Phone: (813) 259-1013
Fax: (813) 254-0396
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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 PA9116104 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9116104 (FL)

Record details

NPI number1134854813
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bluestone Physician Services Southeast Llc — 24 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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