DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYAN M WILSON, PA

Active Sole Proprietor

RYAN M WILSON, PA is a Physician Assistant healthcare provider located in MELBOURNE, Florida. NPI 1306811567 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MELBOURNE, FL

Registration Details

NPI Number
1306811567
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2006 (20.462183697494 yrs)
Last Updated
Dec 1, 2023
Licenses
P9102044 (FL)
PA9102044 (FL)
Sole Proprietor
Yes

Practice Information

Address
1350 HICKORY ST
MELBOURNE, FL, 329013224
Browse FL providers · Browse ZIP 32901
Phone
3214341401
Fax
3214341667
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant

Other Physician Assistant Providers in MELBOURNE, FL

Name Credential NPI
SARA JANE SENGEL PA 1033111323
DENNIS RYAN PA 1700888989
LYNN ANN MEYER PA 1578557567
BEVERLY ANN COLLINS PA C 1700866647
MRS. ANNE C GREGG PA 1295708568
MR. DAMIAN L VELEZ PA C 1871566208
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.