Individual
DR. PHILLIP WAYNE CUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 NW 83RD TER, GAINESVILLE, FL 32653-3812
(352) 316-3761
(352) 377-0991
Mailing address
5801 NW 83RD TER, GAINESVILLE, FL 32653-3812
(352) 316-3761
(352) 377-0991
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0014989
FL
Other
Enumeration date
06/28/2005
Last updated
03/15/2013
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