Isabel Elena Burgess, PA-C
Physician Assistant in Tampa, FL. Individual provider (NPI-1).
NPI number1982195277
StatusActive
Last updated in NPPESJan 9, 2026
Details
- NPI
- 1982195277
- Entity type
- Individual (NPI-1)
- Name
- Isabel Elena Burgess
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2018
- Certification date
- Jan 9, 2026
- Last updated
- Jan 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9120577 | FL | Yes |
| 363A00000X | Physician Assistant | 0110007894 | VA |
Other names
- Isabel Elena Betancourt Otanez (Former Name)
Practice location
12902 Usf Magnolia DrTampa, FL 33612-9416
Phone 813-745-4673 · Fax 813-449-6713
Mailing address
Po Box 198441Atlanta, GA 30384-8441
Phone 813-745-4673 · Fax 813-449-8618
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