Individual
DR. CAROL J WYNINGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13809 PLEASANT VALLEY DR, JACKSONVILLE, FL 32225-1914
(904) 220-0232
Mailing address
13809 PLEASANT VALLEY DR, JACKSONVILLE, FL 32225-1914
(904) 220-0232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33145
FL
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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