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NPI Code Detail

MEDICARE: SUZANNE M WILKINSON MD

MEDICARE:   SUZANNE M WILKINSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME0040430FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME0040430OTHERFLLICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598871931
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE M WILKINSON MD
Provider Business Mailing Address
First Line : 408 MANATEE AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1135
Country : US
Telephone Number : 941-748-1331
Fax Number : 941-746-2803
Provider Business Practice Location Address
First Line : 408 MANATEE AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1135
Country : US
Telephone Number : 941-748-1331
Fax Number : 941-746-2803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 03/07/2023

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Directions to “ SUZANNE M WILKINSON MD” Practice Location

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