Individual provider · Type 1 NPI

Keeley Divita Whittlesey, PA

Physician Assistant · Gainesville, FL

NPI number 1952020448 Active

Practice location

4500 Newberry Rd
Gainesville, FL 32607-2245

Mailing address

1824 King St Ste 200
Jacksonville, FL 32204-4736

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9116784 (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 1952020448

Keeley Divita Whittlesey, PA's National Provider Identifier is 1952020448, issued on Aug 26, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gainesville, FL. The record was last updated on Feb 15, 2026.