Individual
WENDY M FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
900 NW 8TH AVE, GAINESVILLE, FL 32601-5059
(352) 336-0872
(352) 481-3735
Mailing address
PO BOX 25, HAWTHORNE, FL 32640-0025
(352) 336-0872
(352) 481-3735
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA34335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8108
BLUECROSSBLUESHIELD
FL
Enumeration date
10/22/2007
Last updated
10/22/2007
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