Richard Alan Wilde in Lutz - Pediatrics

Richard Alan Wilde - NPI 1912923830

Richard Alan Wilde is a Pediatrics in Lutz, Florida. Richard Alan Wilde practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Richard Alan Wilde is 1912923830. The last update date is 2021-06-11.

Richard Alan Wilde's current location address is 1854 Oak Grove Blvd, Lutz, Florida. You can contact this provider via phone number 8139486133 and fax number 8139483460. The mailing address for Richard Alan Wilde is 1854 Oak Grove Blvd, Lutz, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Alan Wilde
Address 1854 Oak Grove Blvd, Lutz, Florida
Phone Number 8139486133
Fax Number 8139483460
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912923830
Provider Enumeration Date 2006-07-14
Last Updated Date 2021-06-11

Provider Mailing Address Detail

Address 1854 Oak Grove Blvd
City Lutz
State Florida (FL)
Post Code 335598605
Phone Number 8139486133
Fax Number 8139483460

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No ME82294
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
262370600 FL --

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FAQs about Richard Alan Wilde

What is the unique 10-digit identification code assigned to Richard Alan Wilde by the Centers for Medicare & Medicaid Services?

The Richard Alan Wilde has been issued the NPI (National Provider Identifier) 1912923830, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Richard Alan Wilde?

The Richard Alan Wilde is physically situated at 1854 Oak Grove Blvd, in the city of Lutz, state of FL, with the postal code 335598605.

What is Richard Alan Wilde's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard Alan Wilde is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did Richard Alan Wilde receive its 1912923830 assignment from the Centers for Medicare & Medicaid Services?

The Richard Alan Wilde was assigned its 1912923830 on 2006-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Richard Alan Wilde most recently updated or revised?

The details related to Richard Alan Wilde, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-11.

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