Wilder, Joey Darren

Wilder, Joey Darren is an sole proprietor health care provider with primary practice located at 5535 S Williamson Blvd Ste 700 , Port Orange FL 32128-8321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilder, Joey Darren can be contacted via phone (386) 231-6300.

Contact Information

Primary practice address
5535 S Williamson Blvd Ste 700 Port Orange FL 32128-8321
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 04358 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS15971 Florida

Profile Details

NPI number 1649644311
LBN Legal business name Wilder, Joey Darren
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2015
Last updated May 15th, 2023 - about 3 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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