Individual
DR. WYATT GREGORY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BPVAMC/SURGICAL SERVICE (112), 10,000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-9385
(727) 398-9584
Mailing address
7153 HIDDEN ACRES WAY, SEMINOLE, FL 33772-5714
(727) 398-9385
(727) 398-9584
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME 72204
FL
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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