Individual
DR. RUSSELL BARBORIE WAYLAND III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4848 HOLLY DR, PALM BEACH GARDENS, FL 33418-4508
(561) 626-7429
(561) 626-7429
Mailing address
4848 HOLLY DR, PALM BEACH GARDENS, FL 33418-4508
(561) 626-7429
(561) 626-7429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16606
FL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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