Individual
WILFORD E. PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD STE 311, JACKSONVILLE, FL 32258-5472
(904) 260-2255
(904) 260-2251
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME48260
FL
207VG0400X
Gynecology Physician
Primary
ME 48260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064742000
—
FL
Enumeration date
04/05/2006
Last updated
02/25/2019
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