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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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