Organization
GAINESVILLE PEDIATRIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W WYATT MD (PRESIDENT)
(352) 333-5500
Entity
Organization
Contact information
Practice address
6440 W NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL 32605
(352) 333-5500
(352) 333-5506
Mailing address
6440 W NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL 32605
(352) 333-5500
(352) 333-5506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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