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Wayne Albert Wivell, MD
Diagnostic Radiology Physician in Gainesville, Florida
NPI 1912980079

Wayne Albert Wivell is a Diagnostic Radiology Physician based in Gainesville, FL and is specialized in Diagnostic Radiology. Wayne Albert Wivell practices in Gainesville, FL and has the professional credentials of MD. The NPI Number for Wayne Albert Wivell is 1912980079 and holds a License No. ME145109 (Florida).

The current practice location address for Wayne Albert Wivell is 6716 Nw 11Th Pl Ste 200, Gainesville, FL and can be reached out via phone at 352-331-9729 and via fax at 352-331-0136.

Location: 6716 Nw 11Th Pl Ste 200, Gainesville, FL, 32605-4201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912980079
Provider Name
Wayne Albert Wivell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6716 Nw 11Th Pl Ste 200, Gainesville, FL, 32605-4201
Phone Number
352-331-9729
Fax Number
352-331-0136
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MQ512 01 FL MEDICARE
106807000 05 FL
MQ511 01 FL MEDICARE
7CZ1B 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
6716 Nw 11Th Pl Ste 200
City
Gainesville
State
Florida
Zip
32605-4201
Phone Number
352-331-9729
Fax Number
352-331-0136
person
Provider Business Mailing Address Details
Address
6716 Nw 11Th Pl Ste 200
City
Gainesville
State
Florida
Zip
32605-4201
Phone Number
352-331-9729
Fax Number
352-331-0136
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
81971 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
ME145109 (Florida)
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.
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