Individual
DR. LAURENCE T WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 TIGER BAY RD, DAYTONA BEACH, FL 32124-1042
(386) 290-9329
Mailing address
3950 TIGER BAY RD, DAYTONA BEACH, FL 32124-1042
(386) 290-9329
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME33987
FL
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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