Waikins, Jerry L
Waikins, Jerry L is an individual health care provider with primary practice located at 120 Cypress Edge Dr Ste 102 , Palm Coast FL 32164-8454. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty.Contact Information
Primary practice address
120 Cypress Edge Dr Ste 102
Palm Coast FL 32164-8454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME19703 | Florida |
Profile Details
| NPI number | 1629032974 |
|---|---|
| LBN Legal business name | Waikins, Jerry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jan 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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