Search › Florida › 363A00000X
Wiley Fowler, PA-C
NPI 1780936278 · on the registry since 2012 · sole proprietor
Practice
- Address
- 98 Nocatee Village Dr
Ponte Vedra, FL 32081 - Phone
- (904) 202-4243
- Fax
- (904) 390-7415
- Organisation at this address
- Baptist Agewell Physicians Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-16
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