MEDICARE: DEVIN WELLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9120683	FL

General Provider Information

NPI Number	:	1437948437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVIN WELLS

Provider Business Mailing Address
First Line	:	6675 CORPORATE CENTER PKWY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-8079
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6675 CORPORATE CENTER PKWY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-8079
Country	:	US
Telephone Number	:	904-245-8990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	09/08/2025

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Directions to “ DEVIN WELLS ” Practice Location

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