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Individual

VIRGIL T WITTMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 858-7210
Mailing address
4535 OLD SPANISH TRL, JACKSONVILLE, FL 32257-5067

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3797
FL

Other

Enumeration date
07/27/2006
Last updated
07/08/2007
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