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Individual

DR. ERIC ALAN WURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2517 STONEVIEW RD, ORLANDO, FL 32806-5077
(407) 754-5545
Mailing address
2517 STONEVIEW RD, ORLANDO, FL 32806-5077
(407) 754-5545

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME75840
FL
208000000X
Pediatrics Physician
ME75840
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254820800
FL
Enumeration date
07/08/2006
Last updated
09/24/2020
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