Individual
JAMES W. WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8740
(352) 392-0821
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8740
(352) 392-0821
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
ME0017582
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME17582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052750500
—
FL
Enumeration date
02/15/2006
Last updated
10/01/2009
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