Individual
JOHN D WILCOX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2023 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 32073
(904) 272-2020
(904) 276-4386
Mailing address
2023 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 32073
(904) 272-2020
(904) 276-4386
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0018669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180397001
CIGNA
FL
01
—
4047761
AETNA
FL
01
—
44087
BCBS
FL
01
—
CB1273
RAILROAD MEDICARE
FL
Enumeration date
04/19/2006
Last updated
05/19/2015
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