Individual
JAKOB WYLLYS ENRIQUE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(877) 876-3627
(321) 841-3794
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(877) 876-3627
(321) 841-3794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9120887
FL
Other
Enumeration date
07/28/2025
Last updated
11/03/2025
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