Individual
DR. JAMES LAWRENCE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0296
(352) 273-8985
(352) 273-9054
Mailing address
1600 SW ARCHER RD, PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 273-8985
(352) 273-9054
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME 123962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014830000
—
FL
Enumeration date
10/31/2006
Last updated
09/23/2015
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