Individual provider · Type 1 NPI

Ronnie Wyatt, PA

Physician Assistant · Lakeland, FL

NPI number 1154399095 Active

Practice location

1417 Lakeland Hills Blvd
Lakeland, FL 33805-3200

Call (863) 682-8401 Map

Fax (863) 802-9611

Mailing address

841 Stratford Dr
Lakeland, FL 33813-4702

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA1709 (FL)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154399095

Ronnie Wyatt, PA's National Provider Identifier is 1154399095, issued on Mar 8, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lakeland, FL. The record was last updated on Jul 8, 2007.