Wilson, Jeffrey Scott

Wilson, Jeffrey Scott is an individual health care provider with primary practice located at 13085 N Telecom Pkwy , Temple Terrace FL 33637-0926. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Wilson, Jeffrey Scott can be contacted via phone (813) 971-3064.

Contact Information

Primary practice address
13085 N Telecom Pkwy Temple Terrace FL 33637-0926
Phone: (813) 971-3064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME 101963 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME101963 Florida

Profile Details

NPI number 1841251055
LBN Legal business name Wilson, Jeffrey Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Dec 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841251055 NPPES
Florida MEDICAID 000293800
Florida Other 59056

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