Individual provider · Type 1 NPI

Rebecca Wagner Michaels, PA-C

Surgical Physician Assistant · Orlando, FL

NPI number 1053720490 Active

Practice location

6535 Nemours Pkwy
Orlando, FL 32827-7884

Call (407) 650-7000 Map

Fax (407) 567-5924

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

Other practice locations

  • 2301 Erwin Road, Durham, NC 27710-1910 · (919) 681-2343

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X0010-11827 (NC)
Surgical Physician Assistant Primary 363AS0400XPA9121186 (FL)
Physician Assistant 363A00000X0110006278 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1053720490

Rebecca Wagner Michaels, PA-C's National Provider Identifier is 1053720490, issued on Aug 11, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Jul 27, 2026.