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Contact Information

ROBERT W. WILSON, D.O., P.A.
2940 IMMOKALEE RD
SUITE #2
NAPLES, FL34110-1409
 Phone: 239-598-5750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ROBERT W. WILSON, D.O., P.A.

NPI Number 1841415932
LBN Legal business name ROBERT W. WILSON, D.O., P.A.
Authorized official ROBERT WILSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # 0S0006131
Other 80906 BLUE CROSS BLUE SHIELD
Other 435695 GREAT WEST
FL Other 202096 FL HEALTHY KIDS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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