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Dr. Richard C Wilson, DPM
Foot & Ankle Surgery Podiatrist in Melbourne, Florida
NPI 1972587350

Richard C Wilson is a Foot & Ankle Surgery Podiatrist based in Melbourne, FL and is specialized in Foot & Ankle Surgery. Richard C Wilson practices in Melbourne, FL and has the professional credentials of DPM. The NPI Number for Richard C Wilson is 1972587350 and holds a License No. 421 (Florida).

The current practice location address for Richard C Wilson is 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL and can be reached out via phone at 321-723-3500 and via fax at 321-723-1945.

Location: 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL, 32901-2946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972587350
Provider Name
Richard C Wilson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1515 Dr Martin Luther King Jr Blvd, Melbourne, FL, 32901-2946
Phone Number
321-723-3500
Fax Number
321-723-1945
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041009800 05 FL
87733 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
1515 Dr Martin Luther King Jr Blvd
City
Melbourne
State
Florida
Zip
32901-2946
Phone Number
321-723-3500
Fax Number
321-723-1945
person
Provider Business Mailing Address Details
Address
1515 Dr Martin Luther King Jr Blvd
City
Melbourne
State
Florida
Zip
32901-2946
Phone Number
321-723-3500
Fax Number
321-723-1945
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016003144 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
421 (Colorado)
Definition
Definition to come...
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