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1346320405
WYATT GREGORY PAYNE
BAY PINES, FL
NPI
1346320405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208200000X Plastic Surgery
(Licence: FL ME 72204)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. WYATT GREGORY PAYNE MD
BPVAMC/SURGICAL SERVICE (112) 10,000 BAY PINES BLVD
BAY PINES, FL 33744
Phone number: 727-398-9385
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Mailing Address
Dr. WYATT GREGORY PAYNE MD
7153 HIDDEN ACRES WAY
SEMINOLE, FL 33772-5714
Phone number: 727-398-9385
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