Healthcare Provider Details

I. General information

NPI: 1194649202
Provider Name (Legal Business Name): LANDON WILKERSON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 OAKFIELD DR
BRANDON FL
33511-4841
US

IV. Provider business mailing address

2838 WOODLAND MEADOW RD
MULBERRY FL
33860-5532
US

V. Phone/Fax

Practice location:
  • Phone: 813-900-7246
  • Fax:
Mailing address:
  • Phone: 813-900-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16038
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: