Individual
CATHERINE MARIE WENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
PO BOX 10030, DAYTONA BEACH, FL 32120-0030
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME95943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275753200
—
FL
01
—
54250
BLUE CROSS
FL
Enumeration date
07/08/2006
Last updated
08/03/2009
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