Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB LEE WONDERLICH, PA
ActiveMR. JACOB LEE WONDERLICH, PA is a Physician Assistant healthcare provider located in DAVENPORT, Florida. NPI 1255446878 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DAVENPORT, FL
Registration Details
- NPI Number
- 1255446878
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2006 (19.971671221755 yrs)
- Last Updated
- Jul 7, 2021
- License
-
PA9103414 (FL)
Practice Information
- Address
-
40100 HIGHWAY 27DAVENPORT, FL, 33837Browse FL providers · Browse ZIP 33837
- Phone
- 8634224971
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DAVENPORT, FL
| Name | Credential | NPI |
|---|---|---|
| MELISSA LEE MCNALLY | PA | 1477521078 |
| ERIC EUGENE COLE | PA-C | 1255397873 |
| LEAH DARE WEAVER | PA | 1699869719 |
| DR. FRANCISCO E CORTES | PA | 1215083258 |
| MR. ARTUR SIKORA | PA | 1194919399 |
| KAJALBEN PATEL | — | 1528303799 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.