MR. RONNIE WYATT (PA) – Physician Assistant, NPI 1154399095
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. RONNIE WYATT (PA)
841, Stratford Drive, Lakeland Heights, Grand Prairie, Dallas County, Texas, 75051, United States
LAKELAND, FL 338134702
Phone: (863) 644-1255
Type: Mailing
1417, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
LAKELAND, FL 338053200
Phone: (863) 682-8401
Fax: (863) 802-9611
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33813)
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