| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 01/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023027315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0039417 (Florida) | Primary |
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