person
Bradley Lyle Wilson, DO
Family Medicine Physician in Fort Myers, Florida
NPI 1609130954

Bradley Lyle Wilson is a Family Medicine Physician based in Fort Myers, FL. Bradley Lyle Wilson practices in Fort Myers, FL and has the professional credentials of DO. The NPI Number for Bradley Lyle Wilson is 1609130954 and holds a License No. OS14770 (Florida).

The current practice location address for Bradley Lyle Wilson is 4771 S Cleveland Ave, Fort Myers, FL and can be reached out via phone at 239-343-9800 and via fax at 239-343-9848.

Location: 4771 S Cleveland Ave, Fort Myers, FL, 33902-2147
person
Provider Profile Details
NPI Number
1609130954
Provider Name
Bradley Lyle Wilson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4771 S Cleveland Ave, Fort Myers, FL, 33902-2147
Phone Number
239-343-9800
Fax Number
239-343-9848
Provider Enumeration Date
07/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
021679700 05 FL
institution
Provider Business Practice Location Address Details
Address
4771 S Cleveland Ave
City
State
Zip
33907
Phone Number
239-343-9800
Fax Number
239-343-9848
person
Provider Business Mailing Address Details
Address
4771 S Cleveland Ave
City
State
Zip
33907
Phone Number
239-343-9800
Fax Number
239-343-9848
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
OS14770 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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