Individual
MS. GINA WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
558 94TH AVE N, ST PETERSBURG, FL 33702-2406
(727) 600-4259
Mailing address
3195 GRAND AVE APT 404, PINELLAS PARK, FL 33782-6133
(727) 600-4259
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
94382
FL
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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