Individual
DR. MARY ELLEN WECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1600, JACKSONVILLE, FL 32207-8334
(904) 399-4862
(904) 402-8948
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME101802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064350500
—
FL
Enumeration date
10/11/2006
Last updated
02/07/2017
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