Individual
CAREN ELIZABETH WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 N CLYDE MORRIS BLVD, #100, DAYTONA BEACH, FL 32114-2724
(386) 238-3295
(386) 238-3273
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME47284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272684000
—
FL
01
—
29029
BCBS
FL
01
—
ME47284
VHN
FL
Enumeration date
10/04/2005
Last updated
10/30/2013
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