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Individual

DR. PAUL THOMAS WHEELER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1505 NW 16TH AVE, SUITE A, GAINESVILLE, FL 32605-4036
(352) 373-5107
(352) 371-0653
Mailing address
1505 NW 16TH AVE, SUITE A, GAINESVILLE, FL 32605-4036
(352) 373-5107
(352) 371-0653

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0457
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z0869
BLUE CROSS & BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/11/2009
Last updated
06/11/2009
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