Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracey Lynn Nimeh, PA-C

Individual provider Surgical Physician Assistant · NPI 1700935723

Tracey Lynn Nimeh, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2005, 21 years ago. Practices with Sports and Orthopedic Rehabilitation Services Inc, a 321-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2007
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

602 S Howard Ave
Tampa, FL 33606-2413
Phone: (813) 253-2406
Fax: (813) 257-4290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9103963 (FL)

Record details

NPI number1700935723
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESMarch 22, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Sports And Orthopedic Rehabilitation Services Inc — 321 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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