Individual
GWEN R WURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 NW 14TH ST, MIAMI, FL 33136-2137
(305) 270-5050
(305) 270-3846
Mailing address
1475 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1002
(305) 243-7249
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME48698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0455148-00
—
FL
Enumeration date
04/10/2006
Last updated
01/27/2022
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