Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon D Wiese MD FACS PA

Organization Surgery Physician · NPI 1902078512

Jon D Wiese MD FACS PA is a Surgery Physician in Longwood, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

521 W State Road 434 Ste 305
Longwood, FL 32750-4984
Phone: (407) 332-1995
Fax: (407) 332-1404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME54060 (FL)

Record details

NPI number1902078512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Wiese — President · (407) 332-1995
NPI enumeratedMarch 24, 2008
Last updated in NPPESApril 3, 2008
Mailing address521 W State Road 434, Suite 305, Longwood, FL 32750-4984

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