Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Michelle Pinto Wade, PA-C

Individual provider Pediatrics Physician · NPI 1518969377

Mrs. Michelle Pinto Wade, PA-C is a Pediatrics Physician in Jacksonville, Florida. Licensed in Florida and Pennsylvania. Registered with an NPI since 2005.

Licensed in
FL, PA
In the registry since
2005
Specialties on file
3
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

10325 San Jose Blvd
Jacksonville, FL 32257-6204
Phone: (904) 717-1034
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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 PA113264 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence PA9113264 (FL)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence MA051342 (PA)

Record details

NPI number1518969377
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESMarch 7, 2023
Certification dateMay 23, 2022

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