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

Jeffery Wilson, PA-C

Individual provider Physician Assistant · NPI 1790194850

Jeffery Wilson, PA-C is a Physician Assistant in Winter Park, Florida. Qualified in 2014, 12 years ago. Practices with The Ear Nose and Throat Surgical Associates PA, a 50-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

133 Benmore Dr Ste 100
Winter Park, FL 32792-4111
Phone: (407) 644-4883
Fax: (407) 644-3697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108029 (FL)

Record details

NPI number1790194850
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 3, 2014
Last updated in NPPESJuly 21, 2022
Certification dateDecember 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice The Ear Nose And Throat Surgical Associates Pa — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Winter Park