Individual
CHESTER C WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 S 11TH ST, LAKE WALES, FL 33853-4243
(863) 419-8366
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT., LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME97851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001365900
—
FL
01
—
1073806
CAREPLUS
FL
01
—
2700158
UNITED
FL
01
—
309495
AVMED
—
01
—
6501728
CIGNA
FL
01
—
7053917
AETNA
FL
01
—
78191
BCBS
FL
01
—
P00753965
RAILROAD MEDICARE
FL
Enumeration date
07/21/2006
Last updated
08/25/2025
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