Individual
WISNER JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3105 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5808
(561) 255-0728
(959) 644-9342
Mailing address
1116 OAKWATER DR, ROYAL PALM BEACH, FL 33411-6104
(561) 255-0728
(959) 644-9342
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2999996845
FL
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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