Individual
DANIELLE MARIE WECKESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8821
(203) 292-1700
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 273-8821
(203) 292-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107214
FL
363AM0700X
Medical Physician Assistant
000982
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009628500
—
FL
Enumeration date
10/18/2006
Last updated
12/09/2013
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