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NPI Code Detail

MEDICARE: VELYN WU M.D.

MEDICARE: VELYN WU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101256131VA
2207QS0010XSports Medicine (Family Medicine) PhysicianME102446FL
3207Q00000XFamily Medicine PhysicianME102446FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366647000
Entity Type Code : Individual
Provider Name (Legal Business Name) : VELYN WU M.D.
Provider Business Mailing Address
First Line : 1707 N MAIN ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32609-3650
Country : US
Telephone Number : 352-265-7001
Fax Number : 352-265-9584
Provider Business Practice Location Address
First Line : 1707 N MAIN ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32609-3650
Country : US
Telephone Number : 352-265-7001
Fax Number : 352-265-9584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2007
Last Update Date : 04/15/2020

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