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

Jon D Wiese, MD

Individual provider Surgery Physician · NPI 1952474561

Jon D Wiese, MD is a Surgery Physician in Longwood, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

521 W State Road 434 Ste 301
Longwood, FL 32750-5166
Phone: (407) 767-5808
Fax: (407) 767-5892
Show map & directions

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 number1952474561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESNovember 14, 2016
Mailing address521 W State Road 434, Suite 301, Longwood, FL 32750-5166

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