Wheeler, Peter A

Wheeler, Peter A is an individual health care provider with primary practice located at 475 W Town Pl Ste 106 , St Augustine FL 32092. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wheeler, Peter A can be contacted via phone (904) 719-3327.

Contact Information

Primary practice address
475 W Town Pl Ste 106 St Augustine FL 32092
Phone: (904) 719-3327
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104158 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104158 Florida

Profile Details

NPI number 1134142151
LBN Legal business name Wheeler, Peter A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 27th, 2019 - about 5 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 1134142151 NPPES
Florida Other PA9104158 FL DEPT OF HEALTH

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