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NPI 1194649202

NPI 1194649202 : LANDON WILKERSON DC : BRANDON, FL

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General NPI Number Information
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    NPI Number           |    1194649202
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    Entity Type          |    Individual 
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    Provider Name        |    LANDON WILKERSON DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/10/2026
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    Last Update Date     |    08/10/2026
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Provider Practice Location Address
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    Address Line         |    1355 OAKFIELD DR 
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    City                 |    BRANDON
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    State                |    FL
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    Zip                  |    33511-4841
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    Country              |    US
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    Telephone            |    813-900-7246
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2838 WOODLAND MEADOW RD 
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    City                 |    MULBERRY
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    State                |    FL
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    Zip                  |    33860-5532
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    Country              |    US
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    Telephone            |    813-900-7246
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    16038
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    License Number State |    FL
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