Individual
MARTHA ELIZABETH WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3955 INDIAN RIVER BLVD STE 100, VERO BEACH, FL 32960-4845
(772) 569-2330
(772) 569-2630
Mailing address
3955 INDIAN RIVER BLVD STE 100, VERO BEACH, FL 32960-4845
(772) 569-2330
(772) 569-2630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9108153
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9108153
FL
Other
Enumeration date
10/23/2014
Last updated
11/01/2023
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