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Clarissa Wynn, PTA

NPI 1205351293 · on the registry since 2017

Practice

Address
2627 Riverside Ave Fl 3
Jacksonville, FL 32204
Phone
(904) 634-0640
Fax
(904) 634-0203
Organisation at this address
Anesthesia Dynamics Llc
St Vincents Medical Center Inc
St Vincents Physician Enterprise Inc
Southeast Orthopedic Specialists, Inc
Southeast Orthopedic Specialists, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
113

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida