Individual
ESTHER LOUISE WYLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 876-4360
(941) 552-7605
Mailing address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 876-4360
(941) 552-7605
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
ME82022
FL
208D00000X
General Practice Physician
Primary
ME82022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021076300
—
FL
Enumeration date
07/09/2006
Last updated
07/09/2019
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