# RICHARD R. WILSON, D.O.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BONITA SPRINGS FAMILY PRACTICE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497938963
- **Authorized official:** DR. RICHARD R WILSON DO (DOCTOR/OWNER)
- **Authorized official phone:** (239) 949-1212

## Contact information

- **Practice address:** 10201 ARCOS AVE SUITE 202, ESTERO, FL 33928
- **Practice address phone:** (239) 949-1212
- **Practice address fax:** (239) 949-0587
- **Mailing address:** 10201 ARCOS AVE SUITE 202, ESTERO, FL 33928
- **Mailing address phone:** (239) 949-1212
- **Mailing address fax:** (239) 949-0587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS9100 | FL | Yes |

## Other

- **Enumeration date:** 12/07/2007
- **Last updated:** 11/20/2013