Individual
MR. JEFFREY LEE WILDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
82245 OVERSEAS HWY, ISLAMORADA, FL 33036-3639
(305) 664-0700
(305) 664-3599
Mailing address
82245 OVERSEAS HWY, ISLAMORADA, FL 33036-3639
(305) 664-0700
(305) 664-3599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/15/2008
Last updated
10/24/2012
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