NPI 1043522618

Dwayne Wilson, MD

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician Tampa, FL

Practice location

Address: 3978 W Hillsborough Ave Unit 21b, Tampa, FL 33614-5628
Phone: (813) 906-1412
Fax: (813) 413-1971
Mailing address: 6100 Blue Lagoon Dr STE 365, Miami, FL 33126-7010

Registered specialties (2)

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence ME121189 (FL)

Other Preventive Medicine providers in Florida →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence ME121189 (FL)

Other Internal Medicine providers in Florida →

Registry record

NPI: 1043522618
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2010
Record last updated: 9 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.