Healthcare Provider Details

I. General information

NPI: 1669329488
Provider Name (Legal Business Name): RHONDA JANETTE WHEELER RPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 HEALTH PARK BLVD
SAINT AUGUSTINE FL
32086-5784
US

IV. Provider business mailing address

241 HAWTHORNE RD
SAINT AUGUSTINE FL
32086-6715
US

V. Phone/Fax

Practice location:
  • Phone: 904-819-5155
  • Fax:
Mailing address:
  • Phone: 904-347-9806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberRPT100383
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: