DR. LAURENCE T WYLIE (NPI# 1568892099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568892099 |
| Entity Type | Individual |
| Full Name | DR. LAURENCE T WYLIE |
| Practice Address |
3950 Tiger Bay Rd Daytona Beach FL 32124-1042 |
| Practice Telephone | 3862909329 |
| Mailing Telephone | 3862909329 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME33987 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3950 TIGER BAY RD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669630422 | Cesar Arturo Calderon | General Practice | 3950 Tiger Bay Rd, Tomoka Correctional Institution Medical Dept, Daytona Beach, FL 32124-1098 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1891212130 | Brian Moore | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124 | 2017-08-28 |
| 1588834725 | Glendoria Stephens | Counselor | 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 | 2008-03-04 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| Find all providers in zip 32124 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295262137 | Mendoza Behavioral Health LLC | Psychiatry & Neurology | 110 Orange Ave, Daytona Beach, FL 32114-4310 | 2017-05-22 |
| 1396187993 | Bhartiben Patel | Psychiatry & Neurology | 500 Bill France Blvd, Unit 9451, Daytona Beach, FL 32114-1189 | 2013-07-23 |
| 1467511428 | Stephen S Oh | Psychiatry & Neurology | 341 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-12-06 |
| 1316997679 | Timothy Lee Reid | Psychiatry & Neurology | 1821 Business Park Blvd, Daytona Va Clinic,westside Pavilion, Daytona Beach, FL 32114 | 2006-05-10 |
| 1376530923 | Fariya S Afridi | Psychiatry & Neurology | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2005-09-29 |
| 1619511763 | Excellence Health Psychiatry, LLC | Psychiatry & Neurology | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-11-01 |
| 1285126482 | Steven Thomas Batton | Psychiatry & Neurology | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2018-06-04 |
| 1730545849 | Stephen S Oh Md | Psychiatry & Neurology | 341 N Clyde Morris Blvd, Daytona Beach, FL 32114-2732 | 2016-01-05 |
| 1417340506 | Oscar Plata | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2015-03-12 |
| 1306286364 | Eric Garcia Santos | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-07-04 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
Please comment or provide details below to improve the information on DR. LAURENCE T WYLIE.
| 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.