Mr. Michael D. Wendt PA
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Mr. Michael Darren Wendt PA
NPI Number
1609173236
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/17/2011
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9112985
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 878
6545 NORMANDY BLVD
City
Davenport
Jacksonville
State
FL
FL
Postal Code
33836-0878
32205-6201
Country
US
US
Telephone Number
(689) 698-3720
(904) 861-1901
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/27/2024