Organization · Type 2 NPI
Jerry A Wishik, M.d., P.a.
Clinic/Center · Brandon, FL
NPI number
1699710467
Active
Practice location
620 Vonderburg Dr
Brandon, FL 33511-5971
Fax (813) 689-9559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
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About NPI 1699710467
Jerry A Wishik, M.d., P.a.'s National Provider Identifier is 1699710467, issued on Jun 17, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Brandon, FL. The record was last updated on Aug 22, 2020.