Wade, Michelle Pinto
Wade, Michelle Pinto is an individual health care provider with primary practice located at 10325 San Jose Blvd , Jacksonville FL 32257-6204. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wade, Michelle Pinto can be contacted via phone (904) 717-1034.Contact Information
Primary practice address
10325 San Jose Blvd
Jacksonville FL 32257-6204
Phone: (904) 717-1034
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | PA9113264 | Florida |
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MA051342 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA113264 | Florida |
Profile Details
NPI number | 1518969377 |
---|---|
LBN Legal business name | Wade, Michelle Pinto |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2005 |
Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518969377 | NPPES |
Florida | MEDICAID | 113755000 | |
Florida | Other | MA051342 |
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