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Individual

DR. WYLENE N BHANJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
12058 SAN JOSE BLVD STE 1004, CARING PHYSICAL REHABILITATION, JACKSONVILLE, FL 32223-8667
(904) 288-8060
Mailing address
12058 SAN JOSE BLVD STE 1004, CARING PHYSICAL REHABILITATION, JACKSONVILLE, FL 32223-8667
(904) 288-8060

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS9034
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268885900
FL
01
37641
BCBS FL
FL
Enumeration date
04/27/2006
Last updated
08/05/2009
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