Individual
BRADLEY LYLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4771 S CLEVELAND AVE, FORT MYERS, FL 33907
(239) 343-9800
(239) 343-9848
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS14770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021679700
—
FL
Enumeration date
07/02/2012
Last updated
03/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us