Individual provider · Type 1 NPI
Jakob Wyllys Enrique Robertson
Medical Physician Assistant · Orlando, FL
NPI number
1851274922
Active
Practice location
1400 S Orange Ave
Orlando, FL 32806-2134
Fax (321) 841-3794
Other practice locations
- 4850 Millenia Blvd, Orlando, FL 32839-6012 · (407) 264-5601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9120887 (FL) |
| Physician Assistant | 363A00000X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1851274922
Jakob Wyllys Enrique Robertson's National Provider Identifier is 1851274922, issued on Jul 28, 2025. 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 3, 2025.