Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin D Wasdin, PA-C

Individual provider Physician Assistant · NPI 1245777929

Justin D Wasdin, PA-C is a Physician Assistant in Port St Lucie, Florida. Qualified in 2016, 10 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
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

10080 SW Innovation Way Ste 102
Port St Lucie, FL 34987-2129
Phone: (772) 344-3811
Fax: (772) 283-4919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 509 Se Riverside Dr, Stuart, FL 34994-2579 — (772) 221-2003

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110163 (FL)

Record details

NPI number1245777929
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 19, 2017
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port St Lucie