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

Tom Wonneberger, PA-C

Individual provider Physician Assistant · NPI 1639709199

Tom Wonneberger, PA-C is a Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
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

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone: (904) 308-7300
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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 PA9112928 (FL)

Record details

NPI number1639709199
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address2149 Walnut Creek Ct N, Jacksonville, FL 32246-5105

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