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Individual
JIMMIE J. WILBUR
Active
Individual
JIMMIE J. WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0067395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0623182
AETNA
FL
01
—
27003
BCBS
FL
Enumeration date
07/17/2006
Last updated
03/22/2016
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