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

Tannelle McDougle, PA

Individual provider Medical Physician Assistant · NPI 1407296197

Tannelle McDougle, PA is a Medical Physician Assistant in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
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

4260 Central Ave
St Petersburg, FL 33711-1140
Phone: (727) 339-5496
Fax: (727) 361-6247
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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 PA9107285 (FL)

Record details

NPI number1407296197
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 27, 2013
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

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