James P Wilson Md | |
203 Cloverdale Blvd Fort Walton Beach FL 32547-1405 | |
(850) 862-7604 | |
(850) 862-8156 |
Full Name | James P Wilson Md |
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Speciality | Internal Medicine |
Location | 203 Cloverdale Blvd, Fort Walton Beach, Florida |
Authorized Official Name and Position | Heather Wilson (PRACTICE MANAGER) |
Authorized Official Contact | 8508627604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James P Wilson Md 203 Cloverdale Blvd Fort Walton Beach FL 32547-1405 Ph: (850) 862-7604 | James P Wilson Md 203 Cloverdale Blvd Fort Walton Beach FL 32547-1405 Ph: (850) 862-7604 |
NPI Number | 1023027315 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 01/23/2013 |
Identifier | Type | State | Issuer |
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1023027315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0039417 (Florida) | Primary |
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