Allison M Wyman
Female Pelvic Medicine and Reconstructive Surgeon
607 Manatee Ave E Ste 102
Bradenton
, Florida 34208-1158
Allison M Wyman
Female Pelvic Medicine and Reconstructive Surgeon
607 Manatee Ave E Ste 102
Bradenton
, Florida 34208-1158
(813) 974-2201
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Allison M Wyman
- Po Box 917770
- Orlando, FL
- Zip : 32891-0001
- Phone : (813) 974-2201
Second Address
- Allison M Wyman
- 607 Manatee Ave E Ste 102
- Bradenton, FL
- Zip : 34208-1158
- Fax : (941) 216-3605
- Phone : (941) 216-3602
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME115925 | FL |
National Provider Identifier
| NPI | 1598909889 |
|---|---|
| Provider Name | Allison M Wyman |
| First Address | Orlando, FL 32891-0001 |
| Second Address | Bradenton, FL 34208-1158 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2009 |
| Last Update Date | 09/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 017766300 | (05) | FL |
| XBO63 | BLUE CROSS BLUE SHIELD (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.