Individual
MR. JARVIS AC WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,MPA
Contact information
Practice address
3270 SUNTREE BLVD STE 101, MELBOURNE, FL 32940-7540
(321) 610-7949
(321) 610-7947
Mailing address
6209 WESTGATE DR APT 1110, ORLANDO, FL 32835-7074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W460-421-87-310-0
FL
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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