Individual
DEREK PAUL WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3384 WOODS EDGE CIR STE 104, BONITA SPRINGS, FL 34134-1367
(239) 829-4300
Mailing address
3384 WOODS EDGE CIR STE 104, BONITA SPRINGS, FL 34134-1367
(239) 829-4300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
06/14/2022
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