Wilco Civil, D.O. PLLC
Internal Medicine in Land O Lakes, FL. Organization (NPI-2).
NPI number1346854320
StatusActive
Last updated in NPPESNov 4, 2020
Details
- NPI
- 1346854320
- Entity type
- Organization (NPI-2)
- Legal business name
- Wilco Civil, D.O. PLLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2020
- Certification date
- Nov 4, 2020
- Last updated
- Nov 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QM1102X | Clinic/Center, Military Outpatient Operational (Transportable) Component | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 261QV0200X | Clinic/Center, VA | – | – | |
| 315D00000X | Hospice, Inpatient | – | – | |
| 332900000X | Non-Pharmacy Dispensing Site | – | – |
Other names
- Civil Medical (Doing Business As)
Practice location
18598 Milton Keynes CtLand O Lakes, FL 34638-2202
Phone 813-403-9096
Mailing address
5230 Land O Lakes Blvd#2873
Land O Lakes, FL 34639
Authorized official
Wilco Civil
Employee
8134039096
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