Vance Eugene Wilson in Daytona Beach - Cardiovascular Disease

Vance Eugene Wilson - NPI 1487614947

Vance Eugene Wilson is a Cardiovascular Disease in Daytona Beach, Florida. Vance Eugene Wilson practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Vance Eugene Wilson is 1487614947. The last update date is 2018-10-10.

Vance Eugene Wilson's current location address is 695 N Clyde Morris Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3862588722 and fax number 3862588659. The mailing address for Vance Eugene Wilson is 695 N Clyde Morris Blvd, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Vance Eugene Wilson
Address 695 N Clyde Morris Blvd, Daytona Beach, Florida
Phone Number 3862588722
Fax Number 3862588659
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1487614947
Provider Enumeration Date 2006-03-27
Last Updated Date 2018-10-10

Provider Mailing Address Detail

Address 695 N Clyde Morris Blvd
City Daytona Beach
State Florida (FL)
Post Code 321142321
Phone Number 3862588722
Fax Number 3862588659

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No ME0062094
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15073 FL BCBS
370394100 FL --

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FAQs about Vance Eugene Wilson

What is the unique 10-digit identification code assigned to Vance Eugene Wilson by the Centers for Medicare & Medicaid Services?

The Vance Eugene Wilson has been issued the NPI (National Provider Identifier) 1487614947, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Vance Eugene Wilson?

The Vance Eugene Wilson is situated at 695 N Clyde Morris Blvd, in the city of Daytona Beach, state of FL, with the zip code 321142321.

What is Vance Eugene Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Vance Eugene Wilson is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.

On what date was the 1487614947 assigned to Vance Eugene Wilson?

The Vance Eugene Wilson was issued its 1487614947 on 2006-03-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Vance Eugene Wilson most recently updated?

The details pertaining to the Vance Eugene Wilson, including its address, specialty, and other relevant information, were last refreshed on 2018-10-10.

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