Wayne P Justice M D P A

NPI 1528397791 - Clinic/Center - 261Q00000X

NPI Details
NPI 1528397791
Enumeration Date 12/16/2009
Last Updated 06/14/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WAYNE P WAYNE
Position PRESIDENT
Phone (850) 678-0443
Fax (850) 678-7999
Practice Location
1003 COLLEGE BLVD W STE 2
NICEVILLE FL, 32578-1069, US
Phone (850) 678-0443
Fax (850) 678-7999
Business Location
1003 COLLEGE BLVD W STE 2
NICEVILLE FL, 32578-1069, US
Phone (850) 678-0443
Fax (850) 678-7999
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Wayne P Justice M D P A NPI is 1528397791, taxonomy code is 261Q00000X Wayne P Justice M D P A physically located at 1003 College Blvd W Ste 2, Niceville FL, 32578-1069. NPI Number 1033115704 has the healthcare provider type.

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1528397791 NPI number is provided on an as is basis without warranty of any kind. 1528397791 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne P Justice M D P A are for informational purposes only.