Wesley, Jon Mark

Wesley, Jon Mark is an individual health care provider with primary practice located at 80 W Michigan St , Orlando FL 32806-4453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wesley, Jon Mark can be contacted via phone (407) 648-4323.

Contact Information

Primary practice address
80 W Michigan St Orlando FL 32806-4453
Phone: (407) 648-4323
Fax: (407) 648-0968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME86911 Florida

Profile Details

NPI number 1538149331
LBN Legal business name Wesley, Jon Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Mar 9th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538149331 NPPES
Florida Other 293206 AVMED ID NUMBER
Florida Other 0198229 AVMED ID NUMBER
Florida Other 2472671 AVMED ID NUMBER
Florida Other 3345832 AVMED ID NUMBER
Florida Other 2349397 AVMED ID NUMBER
Florida Other 7838462 AVMED ID NUMBER
Florida Other 7901553 AVMED ID NUMBER
Florida Other 81739 AVMED ID NUMBER
Florida Other N231876 AVMED ID NUMBER
Florida Other P00150060 AVMED ID NUMBER
Florida MEDICAID 270571100 AVMED ID NUMBER

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