Individual
DR. WILFREDO CHAMIZO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 6TH ST S, DEPT 7010, ST PETERSBURG, FL 33701-4816
(727) 767-4341
(727) 767-8516
Mailing address
801 6TH ST S, DEPT 7010, ST PETERSBURG, FL 33701-4816
(727) 767-4341
(727) 767-8516
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
ME55082
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME55082
FL
Other
Enumeration date
05/08/2006
Last updated
09/11/2025
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