Wylie, Laurence T
Wylie, Laurence T is an individual health care provider with primary practice located at 3950 Tiger Bay Rd , Daytona Beach FL 32124-1042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wylie, Laurence T can be contacted via phone (386) 290-9329.Contact Information
Primary practice address
3950 Tiger Bay Rd
Daytona Beach FL 32124-1042
Phone: (386) 290-9329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME33987 | Florida |
Profile Details
| NPI number | 1568892099 |
|---|---|
| LBN Legal business name | Wylie, Laurence T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2013 |
| Last updated | Nov 19th, 2013 - about 11 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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