Individual
DARREL W WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 ZEAGLER DR., SUITE 9, PALATKA, FL 32177-6806
(386) 326-1629
(386) 325-8611
Mailing address
700 ZEAGLER DR, SUITE 9, PALATKA, FL 32177-6806
(386) 326-1629
(386) 325-8611
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
034830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038781900
—
FL
Enumeration date
08/15/2006
Last updated
10/28/2011
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