Individual
DR. ASHLEY ROSE WILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1201 1ST ST S STE 100A, WINTER HAVEN, FL 33880-3904
(863) 280-6080
(863) 229-7587
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS15333
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100521300
—
FL
Enumeration date
03/12/2015
Last updated
08/05/2019
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