Individual
DR. ALBERT H WILKINSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14546 SAINT AUGUSTINE RD, SUITE 401, JACKSONVILLE, FL 32258-5468
(904) 268-5366
(904) 268-5457
Mailing address
14546 SAINT AUGUSTINE RD, SUITE 401, JACKSONVILLE, FL 32258-5468
(904) 268-5366
(904) 268-5457
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0056965
FL
207YS0123X
Facial Plastic Surgery Physician
ME0056965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09996
BCBS
FL
Enumeration date
08/12/2005
Last updated
08/13/2011
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