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

My Physician Online

Organization Medical Physician Assistant · NPI 1770193500

My Physician Online is a Medical Physician Assistant in Coral Springs, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

9540 NW 23rd St
Coral Springs, FL 33065-4974
Phone: (954) 778-8007
Fax: (949) 655-8591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1770193500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Wiggins-Jones — Owner · (954) 778-8007
NPI enumeratedAugust 6, 2020
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020
Mailing address9540 Nw 23rd St, Coral Springs, FL 33065-4974

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