Individual
MRS. SONDRA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6000
(352) 374-6103
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291663100
—
FL
01
—
CM8550
MEDICARE RR
FL
Enumeration date
06/27/2006
Last updated
04/17/2024
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