Ethan Wick

NPI 1053132001 · on the registry since 2024

Practice

Address: 12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258
Phone: (855) 832-6727
Organisation at this address: Camelia Kelly
Ganim Md Pllc
Smiley Berry Llc
Paragon Wound Care
1st Choice Venicare
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 201

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Sex: Male
Record last updated: 2024-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida