Wilson, Robert G

Wilson, Robert G is an individual health care provider with primary practice located at 2919 W Swann Ave Suite 401, Tampa FL 33609-4038. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wilson, Robert G can be contacted via phone (813) 872-1548.

Contact Information

Primary practice address
2919 W Swann Ave Suite 401 Tampa FL 33609-4038
Phone: (813) 872-1548
Fax: (813) 872-7509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OS8326 Florida

Profile Details

NPI number 1912996489
LBN Legal business name Wilson, Robert G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912996489 NPPES
Florida MEDICAID 260842100

Popular Providers