Individual
WAYNE W. OBERTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 338-2111
(352) 338-7130
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 338-2111
(352) 338-7130
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
040502
GA
207P00000X
Emergency Medicine Physician
ME 37145
FL
207P00000X
Emergency Medicine Physician
Primary
ME37145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000675793H
—
GA
05
—
0399892-00
—
FL
05
—
039989200
—
FL
Enumeration date
02/13/2006
Last updated
12/11/2009
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