Individual
DR. WILLIAM JAMES WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10506 LUCAYA DR, TAMPA, FL 33647-3326
(813) 973-8560
(813) 973-8560
Mailing address
10506 LUCAYA DR, TAMPA, FL 33647-3326
(813) 973-8560
(813) 973-8560
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061658210
TRICARE PROVIDER NUMBER
FL
05
—
340282700
—
FL
01
—
65920
BC/BS OF FL PROVIDER NUMB
FL
01
—
N307018
WELLCARE OF FL PROVIDER N
FL
Enumeration date
06/02/2006
Last updated
10/22/2012
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