DR. DANIEL S WYZAN


Address: 425 North Lee St, Suite 203, Jacksonville, FL 32204-1128
Phone: 9043548200

DR. DANIEL S WYZAN (NPI# 1598781643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598781643
Entity Type Individual
Full Name DR. DANIEL S WYZAN
Credential MD
Practice Address 425 North Lee St
Suite 203
Jacksonville
FL 32204-1128
Practice Telephone 9043548200
Practice Fax Number 9043541340
Mailing Telephone 9043548200
Mailing Fax Number 9043541340
Enumeration Date 2006-07-14
Last Update Date 2014-05-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
ME48699 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL AETNA 2540584 01
GA MEDICAID OF GEORGIA 00453747A 01
FL 051258300 05
FL BCBS OF FLORIDA 07238Z 01

Office Location

Street Address 425 NORTH LEE ST
SUITE 203
City JACKSONVILLE
State FL
Zip Code 32204-1128

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1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376974485 Gottskalk Bjornsson Internal Medicine 363 Creedmoor Rd, Jacksonville, NC 28546-6035 2013-11-29
1275890402 Amit K Babbar Internal Medicine 1325 San Marco Blvd Ste 300, Jacksonville, FL 32207-8567 2012-04-12
1902178254 Dennis J Mcdonagh M D P A Internal Medicine 2636 Forest Cir, Jacksonville, FL 32257-5612 2012-02-02
1386891042 Leo F Black Internal Medicine 8244 Shady Grove Rd, Jacksonville, FL 32256-7361 2008-08-25
1376744581 Margaret Davis Hovda Internal Medicine 425 North Lee Street, Suite 203, Jacksonville, FL 32204-1128 2007-05-29
1619962230 Bruce Mitchell Yergin Internal Medicine 3627 University Blvd S Ste 300, Jacksonville, FL 32216 2005-09-20
1649782392 Emed Urgent and Primary Care Pa Internal Medicine 2624 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
1750764668 David Abia Trujillo Internal Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224 2015-07-09
1326433624 Scott Richard Steinberg Internal Medicine 655 W 8th St, Jacksonville, FL 32209-6511 2015-04-02
1134547250 Hassan Baig Internal Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2014-04-05
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Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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