Provider Demographics
NPI:1205896859
Name:PFLANZER, SONYA ANN (PA)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:ANN
Last Name:PFLANZER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:ANN
Other - Last Name:RUSNAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12902 USF MAGNOLIA DR
Mailing Address - Street 2:FOB-2
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-9416
Mailing Address - Country:US
Mailing Address - Phone:813-745-8361
Mailing Address - Fax:813-745-7229
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:FOB-2
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-8361
Practice Address - Fax:813-745-7229
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9103336363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q50496Medicare UPIN