Individual provider · Type 1 NPI

Julie Wiedman

Medical Physician Assistant · Orlando, FL

NPI number 1285062919 Active

Practice location

1900 N Mills Ave
Orlando, FL 32803-1444

Mailing address

4745 River Gem Ave
Windermere, FL 34786-3176

Other practice locations

  • 1131 S Orange Ave, Orlando, FL 32806-1226 · (941) 444-0011
  • 13770 Plantation Rd # 103, Fort Myers, FL 33912-4460 · (941) 444-0011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9107571 (FL)
Medical Physician Assistant Primary 363AM0700XPA9107571 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1285062919

Julie Wiedman's National Provider Identifier is 1285062919, issued on Oct 15, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Nov 4, 2025.