Individual
JASON WITTLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2000 SW ARCHER RD, GAINESVILLE, FL 32610-4495
(352) 273-8656
Mailing address
PO BOX 100226, GAINESVILLE, FL 32610-0226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F09201237
FL
363L00000X
Nurse Practitioner
Primary
APRN11009951
FL
Other
Enumeration date
10/21/2020
Last updated
12/22/2021
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