Individual
MR. JEREMY S. WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1201 MONUMENT RD, JACKSONVILLE, FL 32225-7411
(904) 727-5151
(904) 727-5180
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
08/19/2022
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