Wynn, James Lawrence

Wynn, James Lawrence is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-0296. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Wynn, James Lawrence can be contacted via phone (352) 273-8985.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-0296
Phone: (352) 273-8985
Fax: (352) 273-9054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME 123962 Florida

Profile Details

NPI number 1811073794
LBN Legal business name Wynn, James Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Sep 23rd, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811073794 NPPES
Florida MEDICAID 014830000

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