# WILKENS MONDESIR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1518249317
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME113026 | FL | — |
| 207VG0400X | Gynecology Physician | ME113026 | FL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | ME113026 | FL | — |
| 207VX0000X | Obstetrics Physician | ME113026 | FL | Yes |

## Other

- **Enumeration date:** 09/16/2011
- **Last updated:** 11/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008353100 | — | FL |
| 01 | — | HC334 | MEDICARE PTAN | FL |
| 01 | — | HC334Z | MEDICARE PTAN | FL |