Search › Florida › 363A00000X
Michelle Wade, PA-C
NPI 1518969377 · on the registry since 2005
Practice
- Address
- 10325 San Jose Blvd
Jacksonville, FL 32257 - Phone
- (904) 717-1034
- Organisation at this address
- Night Lite Pediatric Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 208000000X
2080A0000X - Licence states on file
- FL, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-07
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