Individual
ALLISON M WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2919 W SWANN AVE STE 404, TAMPA, FL 33609-4052
(813) 773-0579
(941) 253-3401
Mailing address
2410 NORTHSIDE DR, CLEARWATER, FL 33761-2236
(727) 499-0351
(727) 781-3312
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME115925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017766300
—
FL
01
—
XBO63
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/30/2009
Last updated
10/21/2024
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