MEDICARE: DR. WILLIAM JAMES WILEY DPM

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
1	213E00000X	Podiatrist	PO3008	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	061658210	OTHER	FL	TRICARE PROVIDER NUMBER
2	65920	OTHER	FL	BC/BS OF FL PROVIDER NUMB
3	N307018	OTHER	FL	WELLCARE OF FL PROVIDER N
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801834015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JAMES WILEY DPM

Provider Business Mailing Address
First Line	:	10506 LUCAYA DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3326
Country	:	US
Telephone Number	:	813-973-8560
Fax Number	:	813-973-8560

Provider Business Practice Location Address
First Line	:	10506 LUCAYA DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3326
Country	:	US
Telephone Number	:	813-973-8560
Fax Number	:	813-973-8560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	10/22/2012

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