Lawrence & Chona Wylie,m.d.,p.a | |
150 S Beach St Ste A Ormond Beach FL 32174 | |
(386) 672-2100 | |
(386) 672-2135 |
Full Name | Lawrence & Chona Wylie,m.d.,p.a |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 150 S Beach St Ste A, Ormond Beach, Florida |
Authorized Official Name and Position | Chona Degracia Wylie (OWNER) |
Authorized Official Contact | 3866722100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lawrence & Chona Wylie,m.d.,p.a 150 S Beach St Ste A Ormond Beach FL 32174 Ph: (386) 672-2100 | Lawrence & Chona Wylie,m.d.,p.a 150 S Beach St Ste A Ormond Beach FL 32174 Ph: (386) 672-2100 |
NPI Number | 1346419058 |
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Provider Enumeration Date | 02/27/2008 |
Last Update Date | 02/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346419058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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