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Individual
DR. SCOTT E WILEY
Active
Individual
DR. SCOTT E WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME64609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013683G
HUMANA
FL
01
—
210682
AVMED
FL
01
—
23547
BC/BS OF FLORIDA
FL
01
—
28005
STAYWELL
FL
05
—
374243100
—
FL
Enumeration date
11/14/2005
Last updated
08/21/2020
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