# DR. JON MARK WESLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538149331
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME86911 | FL | Yes |

## Other

- **Enumeration date:** 01/18/2006
- **Last updated:** 03/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0198229 | GHI ID NUMBER | FL |
| 01 | — | 2349397 | UNITED ID NUMBER | FL |
| 01 | — | 2472671 | UNITED ID NUMBER | FL |
| 05 | — | 270571100 | — | FL |
| 01 | — | 293206 | AVMED ID NUMBER | FL |
| 01 | — | 3345832 | AETNA HMO ID NUMBER | FL |
| 01 | — | 7838462 | CIGNA ID NUMBER | FL |
| 01 | — | 7901553 | AETNA PPO ID NUMBER | FL |
| 01 | — | 81739 | BC/BS OF FL ID NUMBER | FL |
| 01 | — | N231876 | WELLCARE ID NUMBER | FL |
| 01 | — | P00150060 | RAILROAD MEDICARE ID NUMB | FL |