Wayne Albert Wivell in Gainesville - Vascular & Interventional Radiology

Wayne Albert Wivell - NPI 1912980079

Wayne Albert Wivell is a Vascular & Interventional Radiology in Gainesville, Florida. Wayne Albert Wivell practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Wayne Albert Wivell is 1912980079. The last update date is 2022-03-10.

Wayne Albert Wivell's current location address is 6716 Nw 11th Pl Ste 200, Gainesville, Florida. You can contact this provider via phone number 3523319729 and fax number 3523310136. The mailing address for Wayne Albert Wivell is 6716 Nw 11th Pl Ste 200, Gainesville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne Albert Wivell
Address 6716 Nw 11th Pl Ste 200, Gainesville, Florida
Phone Number 3523319729
Fax Number 3523310136
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912980079
Provider Enumeration Date 2005-11-22
Last Updated Date 2022-03-10

Provider Mailing Address Detail

Address 6716 Nw 11th Pl Ste 200
City Gainesville
State Florida (FL)
Post Code 326054201
Phone Number 3523319729
Fax Number 3523310136

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No ME145109
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MQ512 FL MEDICARE
106807000 FL --
MQ511 FL MEDICARE
7CZ1B FL BCBS

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FAQs about Wayne Albert Wivell

What is the Wayne Albert Wivell's unique identification number?

The Wayne Albert Wivell has been assigned the NPI (National Provider Identifier) Number 1912980079 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Wayne Albert Wivell is geographically located?

The Wayne Albert Wivell is physically situated at the following location: 6716 Nw 11Th Pl Ste 200, Gainesville, FL, 326054201.

What is Wayne Albert Wivell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wayne Albert Wivell's area of specialization is Vascular & Interventional Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0204X.

When did the Wayne Albert Wivell receive its 1912980079?

The Wayne Albert Wivell was issued its 1912980079 on 2005-11-22, which is the date when the organization was assigned this unique identifier.

When was the Wayne Albert Wivell's information last updated?

The Wayne Albert Wivell's information was last updated on 2022-03-10.

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