Darrel W Wyatt Inc

LBN: Darrel W Wyatt Inc
Darrel W Wyatt Inc is an health care organization with primary practice located at 700 Zeagler Dr Suite 9, Palatka FL 32177-6806. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Darrel W Wyatt Inc can be contacted via phone (386) 325-1629, or through Wyatt, Darrel W via phone (386) 325-1629.

Contact Information

Primary practice address
700 Zeagler Dr Suite 9 Palatka FL 32177-6806
Phone: (386) 325-1629
Fax: (386) 325-8611
Website:
Map and Directions
Authorized official contact:
Name: Wyatt, Darrel W Doctor of Medicine (MD)
Phone: (386) 325-1629

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1841697166
LBN Legal business name Darrel W Wyatt Inc
DBA Doing business as
Authorized official Wyatt, Darrel W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2014
Last updated Dec 2nd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841697166 NPPES
Florida MEDICAID 038781900

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