Individual
DR. JAMES B WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
207187
NY
2084P0800X
Psychiatry Physician
Primary
ME119653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110BI1
MEDICARE ID
NY
Enumeration date
07/20/2006
Last updated
12/16/2020
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