Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | ME90214 | FL |
NPI | 1508975376 |
---|---|
Provider Name | Dr. Patricia G. Wheeler |
First Address | Orlando, FL 32806-1141 |
Second Address | Orlando, FL 32806-1141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 29/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
269604500 | (05) | FL |
G63037 | (02) |