MEDICARE: BENJAMIN J WILSON 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
1	207Q00000X	Family Medicine Physician	MD60771670	WA
2	207Q00000X	Family Medicine Physician	ME160361	FL
3	207Q00000X	Family Medicine Physician	8438943-1205	UT

Other Identifiers

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

General Provider Information

NPI Number	:	1952694549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN J WILSON MD

Provider Business Mailing Address
First Line	:	6325 N HIGHWAY 27 STE 201
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-8226
Country	:	US
Telephone Number	:	863-382-9600
Fax Number	:	863-382-0107

Provider Business Practice Location Address
First Line	:	6325 N HIGHWAY 27 STE 201
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-8226
Country	:	US
Telephone Number	:	863-382-9600
Fax Number	:	863-382-0107

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

Provider Enumeration Date	:	05/16/2011
Last Update Date	:	02/09/2026

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