Wilder, Jodi
Wilder, Jodi is an individual health care provider with primary practice located at 125 Florida Memorial Pkwy Ste 2200 , New Smyrna Beach FL 32168-9309. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wilder, Jodi can be contacted via phone (386) 409-6839.Contact Information
Primary practice address
125 Florida Memorial Pkwy Ste 2200
New Smyrna Beach FL 32168-9309
Phone: (386) 409-6839
Fax: (386) 409-6916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Kentucky | |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS15990 | Florida |
Profile Details
| NPI number | 1336696327 |
|---|---|
| LBN Legal business name | Wilder, Jodi |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2016 |
| Last updated | Mar 26th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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