Individual
ANNE WENGLARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
(904) 346-0864
Mailing address
PO BOX 11349, DAYTONA BEACH, FL 32120-1349
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26720
AL
207P00000X
Emergency Medicine Physician
Primary
ME101508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081600
—
FL
05
—
8736932586A
—
GA
Enumeration date
05/11/2007
Last updated
05/11/2011
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