Jeffrey Lynn Wilson in Palm Bay - Family Medicine
Jeffrey Lynn Wilson - NPI 1922108745
Jeffrey Lynn Wilson is a Family Medicine in Palm Bay, Florida. Jeffrey Lynn Wilson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeffrey Lynn Wilson is 1922108745. The last update date is 2020-08-24.
Jeffrey Lynn Wilson's current location address is 1810 Eldron Blvd., Se, Palm Bay, Florida. You can contact this provider via phone number 3214343430 and fax number 3214343432. The mailing address for Jeffrey Lynn Wilson is 1810 Eldron Blvd., Se, Palm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Lynn Wilson |
|---|---|
| Address | 1810 Eldron Blvd., Se, Palm Bay, Florida |
| Phone Number | 3214343430 |
| Fax Number | 3214343432 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1922108745 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2020-08-24 |
Provider Mailing Address Detail
| Address | 1810 Eldron Blvd., Se |
|---|---|
| City | Palm Bay |
| State | Florida (FL) |
| Post Code | 32909 |
| Phone Number | 3214343430 |
| Fax Number | 3214343432 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS14088 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IS227Z | FL | FL MEDICARE | |
| 19335700 | FL | -- |
Post Comment/ Review Below
What is the Jeffrey Lynn Wilson's 1922108745?
The Jeffrey Lynn Wilson's NPI (National Provider Identifier) Number is 1922108745. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jeffrey Lynn Wilson's facilities are situated?
The facilities of Jeffrey Lynn Wilson are physically located at the following address: 1810 Eldron Blvd., Se, Palm Bay, FL, 32909.
What is the Jeffrey Lynn Wilson's specialty and taxonomy code?
The Jeffrey Lynn Wilson's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922108745 to Jeffrey Lynn Wilson?
The Centers for Medicare & Medicaid Services assigned the 1922108745 to Jeffrey Lynn Wilson on 2006-09-22.
As of what date were the details related to Jeffrey Lynn Wilson most recently updated or revised?
The information pertaining to Jeffrey Lynn Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-24.
NPI Number: 1982607784
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