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MR. RONNIE WYATT PA
NPI 1154399095
Physician Assistant in Lakeland, FL

Active since March 08, 2006
1417 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 682-8401(863) 802-9611 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ronnie Wyatt Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RONNIE WYATT PA (NPI 1154399095) is an individual physician assistant in Lakeland, Florida, licensed in Florida (PA1709) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1154399095
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RONNIE WYATTCredential: PA
Location Address1417 LAKELAND HILLS BLVDLakeland, FL 33805-3200
Mailing Address841 Stratford DrLakeland, FL 33813-4702 · (863) 644-1255
Phone(863) 682-8401
Fax(863) 802-9611
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154399095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA1709
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1417 LAKELAND HILLS BLVD, Lakeland, FL 33805
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Other Identifiers 2

Medicare UPINS69022
Medicare ID-Type UnspecifiedE1779BFL

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIERRA WEBSTER
Specialist/Technologist (Speech-Language Assistant)
1417 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (941) 557-3881
FLORIDA HEART & VASCULAR SPECIALISTS PA
Internal Medicine (Cardiovascular Disease)
1417 LAKELAND HILLS BLVD, SUITE 106
LAKELAND, FL 33805
Polk County (863) 682-8401
MAYA LIN JORGENSEN
Occupational Therapy Assistant
1417 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (941) 557-3881
MARIE E PARKMAN ARNP
Nurse Practitioner (Acute Care)
1417 LAKELAND HILLS BLVD, STE 204
LAKELAND, FL 33805
Polk County (863) 603-6542
PRIMARY MEDICAL CENTER OF LAKELAND, LLC
Legal Medicine
1417 LAKELAND HILLS BLVD, SUITE #106
LAKELAND, FL 33805
Polk County (863) 687-4575
MARTHA E BARRERA DDS
Dentist
1417 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (866) 234-8534
STEPHANIE L. SCHMITT M.D.
Surgery
1417 LAKELAND HILLS BLVD, 202
LAKELAND, FL 33805
Polk County (863) 687-1259
CARDIOLOGY ASSOCIATES OF POLK COUNTY
Specialist
1417 LAKELAND HILLS BLVD, SUITE 106
LAKELAND, FL 33805
Polk County (863) 682-8401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronnie Wyatt's NPI number?

The NPI number for Ronnie Wyatt is 1154399095. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Ronnie Wyatt located?

Ronnie Wyatt practices at 1417 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 682-8401.

What is Ronnie Wyatt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ronnie Wyatt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.