Individual provider · Type 1 NPI

Cody Wallace Dewitt, PA

Medical Physician Assistant · Largo, FL

NPI number 1073397998 Active

Practice location

201 14th St SW
Largo, FL 33770-3133

Call (727) 588-5200 Map

Mailing address

9505 49th St N Apt 1-306
Pinellas Park, FL 33782-5275

Other practice locations

  • 300 Pinellas St, Clearwater, FL 33756-3892 · (727) 462-7000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPAC1142 (ND)
Medical Physician Assistant Primary 363AM0700X9117778 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1073397998

Cody Wallace Dewitt, PA's National Provider Identifier is 1073397998, issued on Aug 22, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Largo, FL. The record was last updated on Mar 5, 2025.