Wiley, Sean David

Wiley, Sean David is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology is his primary health care specialty. Wiley, Sean David can be contacted via phone (352) 265-0116.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 265-0116
Fax: (352) 265-0067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology 2471V0106X 307118 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 03FL1057

Profile Details

NPI number 1427254473
LBN Legal business name Wiley, Sean David
Credentials R.T.(R)(VI),RPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - about 18 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 1427254473 NPPES
Florida Other CRT44438 FLORIDA RT LICENSE
Florida Other 307118 FLORIDA RT LICENSE
Florida Other 03FL1057 FLORIDA RT LICENSE

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