Paulk, Wilford E.

Paulk, Wilford E. is an individual health care provider with primary practice located at 14546 Old Saint Augustine Rd Ste 311 , Jacksonville FL 32258-5472. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Paulk, Wilford E. can be contacted via phone (904) 260-2255.

Contact Information

Primary practice address
14546 Old Saint Augustine Rd Ste 311 Jacksonville FL 32258-5472
Phone: (904) 260-2255
Fax: (904) 260-2251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME 48260 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME48260 Florida

Profile Details

NPI number 1861454704
LBN Legal business name Paulk, Wilford E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Feb 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861454704 NPPES
Florida MEDICAID 064742000

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