Individual
LINDSAY MICHELLE WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 TAMPA GENERAL CIR STE 410, TAMPA, FL 33606-3578
(813) 844-7473
(813) 844-1966
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME109487
FL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
ME109487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012996800
—
FL
Enumeration date
03/30/2006
Last updated
06/08/2021
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