Individual
WENDY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 RIDGEWOOD AVE., HOLLY HILL, FL 32117
(386) 671-7100
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120
(386) 615-4015
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME60910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME60910
VHN
FL
Enumeration date
03/24/2006
Last updated
10/24/2016
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