Individual
WESLEY TRAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD STE 350, ATLANTA, GA 30342
(404) 778-3712
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9109886
FL
363AS0400X
Surgical Physician Assistant
Primary
8771
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018993000
—
FL
Enumeration date
10/03/2016
Last updated
08/08/2018
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