Clinicity

NPI 1114356680 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1114356680
Enumeration Date 11/05/2013
Last Updated 11/07/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WYATT IRVIN WYATT
Position COO
Phone (850) 251-5688
Fax
Practice Location
1357 TOM STILL RD
TALLAHASSEE FL, 32305-7541, US
Phone (850) 251-5688
Fax
Business Location
1357 TOM STILL RD
TALLAHASSEE FL, 32305-7541, US
Phone (850) 251-5688
Fax
Toxanomy
Taxonomy Code 207VG0400X
License State Florida
License Number ME28955
Remove 1114356680 NPI Number
 

According to our database, Clinicity NPI is 1114356680, taxonomy code is 207VG0400X and license number is ME28955, license state is located at Florida. Clinicity physically located at 1357 Tom Still Rd, Tallahassee FL, 32305-7541. NPI Number 1033115704 has the healthcare provider type.

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1114356680 NPI number is provided on an as is basis without warranty of any kind. 1114356680 is maintained by the National Plan & Provider Enumeration System. The contents of Clinicity are for informational purposes only.