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Individual

WAYNE ARTHUR PICKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 985-5992
(813) 985-5982
Mailing address
PO BOX 861342, ORLANDO, FL 32886-1342
(813) 985-5992
(813) 985-5982

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME33661
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050043966
RAILROAD MEDICARE
05
068109100
FL
01
95643
BCBS
FL
Enumeration date
12/02/2005
Last updated
01/21/2010
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