Individual
MR. WAYNE PARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2480 BON HOMMES RICHARD ST, JACKSONVILLE, FL 32227
(904) 528-8216
Mailing address
2480 BON HOMMES RICHARD ST, JACKSONVILLE, FL 32227
(904) 528-8216
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
06/25/2020
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