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Contact Information

KEVIN A WILSON, DO
1613 HARRISON PKWY
#200
SUNRISE, FL33323-2853
 Phone: 954-838-2371
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KEVIN A WILSON · (Male)

NPI # 1699754218
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/12/2006
Last updated 04/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS9530
  • FL Medicaid 272737400
  • FL Other 16234 BCBS
Hospital affiliation(s)
  • FLORIDA HOSPITAL - (Acute Care)
    601 E ROLLINS ST
    ORLANDO, FL 32803
  • MEMORIAL HOSPITAL WEST - (Acute Care)
    703 N FLAMINGO RD
    PEMBROKE PINES, FL 33028
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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