# DARREL W WYATT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841697166
- **Authorized official:** DR. DARREL W WYATT MD (PRESIDENT)
- **Authorized official phone:** (386) 325-1629

## Contact information

- **Practice address:** 700 ZEAGLER DR, SUITE 9, PALATKA, FL 32177-6806
- **Practice address phone:** (386) 325-1629
- **Practice address fax:** (386) 325-8611
- **Mailing address:** 700 ZEAGLER DR, SUITE 9, PALATKA, FL 32177-6806
- **Mailing address phone:** (386) 325-1629
- **Mailing address fax:** (386) 325-8611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2014
- **Last updated:** 12/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 038781900 | — | FL |