| Herbert Wilson, | |
|
1307 Providence Rd, Brandon, FL 33511-4885 | |
| (813) 655-4646 | |
| (813) 655-4113 |
| Full Name | Herbert Wilson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1307 Providence Rd, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023481199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9436544 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN000000 (Georgia) | Secondary |
| Entity Name | Biggers Family Medicine, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639453582 PECOS PAC ID: 1658538947 Enrollment ID: O20120127000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Herbert Wilson, 1307 Providence Rd, Brandon, FL 33511-4885 Ph: (813) 655-4646 | Herbert Wilson, 1307 Providence Rd, Brandon, FL 33511-4885 Ph: (813) 655-4646 |
Mindy Connors, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Eichenfeld Dr, Brandon, FL 33511 Phone: 813-684-6000 | |
Dr. Shawn Blouin, DNP, ARNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 | |
Mrs. Kimberly Mcfarling Davis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1771 S Kings Ave, Brandon, FL 33511 Phone: 813-345-4044 | |
Derek Hoffert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 | |
Maylin Barrios, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 Medical Care Dr, Brandon, FL 33511 Phone: 813-448-2081 | |
Mrs. Linda Jean Hubsmith, ARNP(F-PC FMHNP) Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Nikki View Dr, Brandon, FL 33511 Phone: 813-947-3050 Fax: 813-436-0809 |