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Jerry A Wishik, M.d., P.a.
Clinic/Center in Brandon, Florida
NPI 1699710467

Jerry A Wishik, M.d., P.a. is a Clinic/Center based in Brandon, FL. Jerry A Wishik, M.d., P.a. practices in Brandon, FL. The NPI Number for Jerry A Wishik, M.d., P.a. is 1699710467 and holds a License No. (Florida).

The current practice location address for Jerry A Wishik, M.d., P.a. is 620 Vonderburg Dr, Brandon, FL and can be reached out via phone at 813-684-1777 and via fax at 813-689-9559.

Location: 620 Vonderburg Dr, Brandon, FL, 33511-5971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699710467
Provider Name
Jerry A Wishik, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
620 Vonderburg Dr, Brandon, FL, 33511-5971
Phone Number
813-684-1777
Fax Number
813-689-9559
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
620 Vonderburg Dr
City
Brandon
State
Florida
Zip
33511-5971
Phone Number
813-684-1777
Fax Number
813-689-9559
person
Provider Business Mailing Address Details
Address
620 Vonderburg Dr
City
Brandon
State
Florida
Zip
33511-5971
Phone Number
813-684-1777
Fax Number
813-689-9559
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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