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MY PHYSICIAN ONLINE
NPI 1770193500
Physician Assistant - Medical in Coral Springs, FL

Active since August 06, 2020
9540 NW 23RD ST, CORAL SPRINGS, FL 33065(954) 778-8007(949) 655-8591 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About My Physician Online NPPES

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

MY PHYSICIAN ONLINE (NPI 1770193500) is a healthcare organization registered as a medical in Coral Springs, Florida and active in the NPI registry since August 2020. The organization lists Tara Wiggins-jones, Owner, as its authorized official.

NPPES Registry Identity

NPI1770193500
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameMY PHYSICIAN ONLINE
Location Address9540 NW 23RD STCoral Springs, FL 33065-4974
Mailing Address9540 Nw 23rd StCoral Springs, FL 33065-4974 · (954) 778-8007 · Fax (949) 655-8591
Phone(954) 778-8007
Fax(949) 655-8591
Organization SubpartNo
Authorized OfficialTara Wiggins-jonesOwner · (954) 778-8007
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
✔ NPI 1770193500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
9540 NW 23RD ST, Coral Springs, FL 33065
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 My Physician Online's NPI number?

The NPI number for My Physician Online is 1770193500. It was assigned to this organization in the NPPES registry on August 6, 2020.

Where is My Physician Online located?

My Physician Online is located at 9540 NW 23rd St, Coral Springs, FL 33065. The listed phone number is (954) 778-8007.

What is My Physician Online's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for My Physician Online was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.