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Organization
WILKINSON SNOWDEN OTOLARYNGOLOGY CONSULTANTS, P.A.
Active
Organization
WILKINSON SNOWDEN OTOLARYNGOLOGY CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT H WILKINSON III M.D (MANAGING PARTNER)
(904) 268-5366
Entity
Organization
Contact information
Practice address
14546 SAINT AUGUSTINE RD, STE 401, JACKSONVILLE, FL 32258-5468
(904) 268-5366
(904) 268-5457
Mailing address
14546 SAINT AUGUSTINE RD, STE 401, JACKSONVILLE, FL 32258-5468
(904) 268-5366
(904) 268-5457
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME56965
FL
174400000X
Specialist
ME81538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45761
BCBS GROUP PROVIDER #
FL
01
—
CJ2313
RAILROAD GROUP #
FL
Enumeration date
06/05/2007
Last updated
10/17/2007
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