Wilkerson, Wallace G
Wilkerson, Wallace G is an individual health care provider with primary practice located at 5840 W Cypress St B, Tampa FL 33607-7004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wilkerson, Wallace G can be contacted via phone (813) 286-0033.Contact Information
Primary practice address
5840 W Cypress St B
Tampa FL 33607-7004
Phone: (813) 286-0033
Fax: (813) 282-1806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME0039668 | Florida |
Profile Details
| NPI number | 1508852542 |
|---|---|
| LBN Legal business name | Wilkerson, Wallace G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jul 12th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508852542 | NPPES |
| Florida | MEDICAID | O66635100 |
Popular Providers
-
Miller, Tracey Schwartz
4150 N Armenia Ave Ste 200 , Tampa FL 33607-6448 -
Perkins, Sonja L
3450 E Fletcher Ave Ste 110 , Tampa FL 33613-4603 -
Sijin, Odalis
2 Tampa General Cir Fl Stc4 , Tampa FL 33606-3603 -
Jones, Galen B
5840 W Cypress St A, Tampa FL 33607-7004 -
Mechanik, Valerie Catherine
2901 W Saint Isabel St Suite B, Tampa FL 33607-6371 -
Johnson Ii, Howard Ulysses
13801 Bruce B Downs Blvd Suite 201, Tampa FL 33613-3946 -
Stein, Jerry N
5840 W Cypress St B, Tampa FL 33607-7004 -
Newton, William A
4150 N Armenia Ave Suite 200, Tampa FL 33607-6448