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Individual

WIL EDVARD GERMAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10752 DEERWOOD PARK BLVD, SOUTH WATERVIEW II SUITE 100, JACKSONVILLE, FL 32256-4849
(904) 755-1017
(646) 774-0386
Mailing address
12058 SAN JOSE BLVD, JACKSONVILLE, FL 32223-8666
(917) 703-7002
(646) 774-0386

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
274054
NY
2084P0800X
Psychiatry Physician
ME137148
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME137148
FL

Other

Enumeration date
05/25/2012
Last updated
12/18/2019
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