Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY ALLEN WYATT, PA-C
ActiveMR. JIMMY ALLEN WYATT, PA-C is a Medical Physician Assistant healthcare provider located in DAYTONA BEACH, Florida. NPI 1578550257 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1578550257
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.867966514523 yrs)
- Last Updated
- Apr 19, 2017
- License
-
PA9103344 (FL)
Practice Information
- Address
-
350 N CLYDE MORRIS BLVDDAYTONA BEACH, FL, 321142733Browse FL providers · Browse ZIP 32114
- Phone
- 3862383289
- Fax
- 3862383296
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in DAYTONA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| GERALD SIENNICKI | PA | 1700846912 |
| JAMES PATRICK MARCUM | PA | 1801811120 |
| DAVID WILLIAM BAMBERGER | PA | 1568573202 |
| MS. MARY ANN FRANCES COATOAM | PA-C | 1649347147 |
| ARMANDO FERNANDEZ | PA | 1023162740 |
| GAIL JEAN WALL | PA | 1700092095 |
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.