Individual
ROBERT K WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5527
Mailing address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0013479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04273900
—
FL
Enumeration date
10/30/2007
Last updated
10/30/2007
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