Individual
DONALD E WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 11, TAMPA, FL 33612-4742
(813) 974-5192
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME93740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273474500
—
FL
01
—
28789
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/18/2006
Last updated
01/23/2015
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