Healthcare Provider Details

I. General information

NPI: 1255909370
Provider Name (Legal Business Name): PHILIP ANTHONY WESSELS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 SEVEN HILLS DR
SPRING HILL FL
34609-0235
US

IV. Provider business mailing address

118 SEVEN HILLS DR
SPRING HILL FL
34609-0235
US

V. Phone/Fax

Practice location:
  • Phone: 352-666-6950
  • Fax:
Mailing address:
  • Phone: 352-666-6950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number33390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: