Ronnie Wyatt is a Physician Assistant in Lakeland, Florida. Ronnie Wyatt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ronnie Wyatt is 1154399095. The last update date is 2007-07-08.
Ronnie Wyatt's current location address is 1417 Lakeland Hills Blvd, Lakeland, Florida. You can contact this provider via phone number 8636828401 and fax number 8638029611. The mailing address for Ronnie Wyatt is 1417 Lakeland Hills Blvd, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronnie Wyatt |
|---|---|
| Address | 1417 Lakeland Hills Blvd, Lakeland, Florida |
| Phone Number | 8636828401 |
| Fax Number | 8638029611 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1154399095 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1417 Lakeland Hills Blvd |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338053200 |
| Phone Number | 8636828401 |
| Fax Number | 8638029611 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1709 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Ronnie Wyatt by the Centers for Medicare & Medicaid Services?
The Ronnie Wyatt has been assigned the NPI (National Provider Identifier) 1154399095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Ronnie Wyatt is geographically located?
The Ronnie Wyatt is physically situated at the following location: 1417 Lakeland Hills Blvd, Lakeland, FL, 338053200.
What is Ronnie Wyatt's area of expertise and its corresponding taxonomy classification?
The Ronnie Wyatt's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
What is Ronnie Wyatt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ronnie Wyatt is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154399095 to Ronnie Wyatt?
The Centers for Medicare & Medicaid Services originally issued the 1154399095 to Ronnie Wyatt on 2006-03-08.