Individual
BRIANNA WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BENMORE DR STE 200, WINTER PARK, FL 32792-4111
(407) 599-6060
(407) 646-7747
Mailing address
133 BENMORE DR STE 200, WINTER PARK, FL 32792-4111
(407) 599-6060
(407) 646-7747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME147648
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME147648
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
03/27/2017
Last updated
09/01/2023
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