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Individual
PHILLIP WENDINGER
Active
Individual
PHILLIP WENDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN11006262
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11006282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107113500
—
FL
Enumeration date
02/28/2020
Last updated
03/30/2021
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