Individual
WENCHUN QU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
53152
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
143776
FL
208VP0000X
Pain Medicine Physician
Primary
ME143776
FL
Other
Enumeration date
10/28/2008
Last updated
03/24/2023
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