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1629032974
JERRY L WAIKINS
PALM COAST, FL
NPI
1629032974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: FL ME19703)
Enumeration Date
2006-04-13
Last Update Date
2020-01-23
Business Address
Dr. JERRY L WAIKINS M.D.
120 CYPRESS EDGE DR STE 102
PALM COAST, FL 32164-8454
Phone number:
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Mailing Address
Dr. JERRY L WAIKINS M.D.
117 MEADOWBROOK CIR
DAYTONA BEACH, FL 32114-1164
Phone number: 386-492-3243
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