Individual
MR. JOHN GERRITY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
309 NW 5TH STREET, OKEECHOBEE, FL 34972
(863) 467-1428
(863) 467-8133
Mailing address
549 NW LAKE WHITNEY PLACE, SUITE 106, PORT ST LUCIE, FL 34986
(772) 621-9993
(772) 621-9923
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP3222832
FL
Other
Enumeration date
10/17/2006
Last updated
09/08/2008
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