Wheeler, John L

Wheeler, John L is an individual health care provider with primary practice located at 3236 Dr Martin Luther King Jr St N , St Petersburg FL 33704-1202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Wheeler, John L can be contacted via phone (727) 823-4848.

Contact Information

Primary practice address
3236 Dr Martin Luther King Jr St N St Petersburg FL 33704-1202
Phone: (727) 823-4848
Fax: (727) 823-4880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2224092 Florida

Profile Details

NPI number 1528064797
LBN Legal business name Wheeler, John L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jan 17th, 2014 - about 12 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 1528064797 NPPES
Florida MEDICAID 301258100

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