Provider Demographics
NPI:1215521257
Name:LEPAK, ARIEL ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:ELIZABETH
Last Name:LEPAK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:ELIZABETH
Other - Last Name:SILER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:8236 26TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-2858
Mailing Address - Country:US
Mailing Address - Phone:727-902-5518
Mailing Address - Fax:
Practice Address - Street 1:3206 COVE BEND DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-2752
Practice Address - Country:US
Practice Address - Phone:813-803-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-20
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant