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Organization
WAYNE B. HOUSTON, M.D., P.A.
Active
Organization
WAYNE B. HOUSTON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE BRADLEY HOUSTON M.D. (PRESIDENT)
(904) 388-8844
Entity
Organization
Contact information
Practice address
4570 SAN JUAN AVE, SUITE 2, JACKSONVILLE, FL 32210-2051
(904) 388-8844
Mailing address
4570 SAN JUAN AVE, SUITE 2, JACKSONVILLE, FL 32210-2051
(904) 388-8844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0055161
FL
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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