person
Phillip Alex Wimpelberg, PA
Medical Physician Assistant in St Augustine, Florida
NPI 1871686352

Phillip Alex Wimpelberg is a Medical Physician Assistant based in St Augustine, FL and is specialized in Medical. Phillip Alex Wimpelberg practices in St Augustine, FL and has the professional credentials of PA. The NPI Number for Phillip Alex Wimpelberg is 1871686352 and holds a License No. PA9101929 (Florida).

The current practice location address for Phillip Alex Wimpelberg is 2720 Us Highway 1 S, St Augustine, FL and can be reached out via phone at 904-827-0078 and via fax at 904-827-0140.

Location: 2720 Us Highway 1 S, St Augustine, FL, 32086-6301
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Provider Profile Details
NPI Number
1871686352
Provider Name
Phillip Alex Wimpelberg
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2720 Us Highway 1 S, St Augustine, FL, 32086-6301
Phone Number
904-827-0078
Fax Number
904-827-0140
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
291914100 05 FL
P00295658 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
2720 Us Highway 1 S
City
State
Zip
32086-6301
Phone Number
904-827-0078
Fax Number
904-827-0140
person
Provider Business Mailing Address Details
Address
2720 Us Highway 1 S
City
State
Zip
32086-6301
Phone Number
904-827-0078
Fax Number
904-827-0140
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9101929 (Florida)
Definition
Definition to come...
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