Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jon D Wiese MD FACS PA

Organization Surgery Physician · NPI 1902078512

Jon D Wiese MD FACS PA provides Surgery Physician services in Longwood, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

521 W State Road 434 Ste 305
Longwood, FL 32750-4984 Not confirmed with CMS for 18 years — call before visiting
Phone: (407) 332-1995
Fax: (407) 332-1404
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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 number1902078512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Wiese — President · (407) 332-1995
NPI enumeratedMarch 24, 2008
Last updated in NPPESApril 3, 2008
Mailing address521 W State Road 434, Suite 305, Longwood, FL 32750-4984

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