Individual
MR. DAVID A WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
3003 W DR MARTIN LUTHER KING JR BLVD FL 2, TAMPA, FL 33607-6307
(813) 397-1251
(813) 443-8136
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9311117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106086700
—
FL
Enumeration date
11/03/2016
Last updated
03/22/2021
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