WAYNE ALBERT WIVELL

GAINESVILLE, FL
NPI1912980079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  ME145109)
Additional Taxonomies2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: FL  ME145109)
2085R0202X Radiology, Diagnostic Radiology
(Licence: MA  81971)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: MA  81971)
Enumeration Date2005-11-22
Last Update Date2022-03-10
Business Address
WAYNE ALBERT WIVELL MD
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605-4201
Phone number: 352-331-9729
Mailing Address
WAYNE ALBERT WIVELL MD
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605-4201
Phone number: