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:
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Health care specialties

SpecialtyCodeLicense #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 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 1518969377 NPPES
Florida MEDICAID 113755000
Florida Other MA051342

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