Jimmy Wyatt, PA-C

NPI 1578550257 · on the registry since 2005

Practice

Address: 350 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone: (386) 238-3289
Fax: (386) 238-3296
Organisation at this address: Guidewell Medical Group, Inc.
Florida Health Care Plans Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-04-19

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