Victorina, Wilfred M
Victorina, Wilfred M is an sole proprietor health care provider with primary practice located at 4879 Palm Coast Pkwy Nw Unit 2, Palm Coast FL 32137-3672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Victorina, Wilfred M can be contacted via phone (386) 225-4462.Contact Information
Primary practice address
4879 Palm Coast Pkwy Nw Unit 2
Palm Coast FL 32137-3672
Phone: (386) 225-4462
Fax: (386) 225-4465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 36980 | Kentucky |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD432714 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME126126 | Florida |
Profile Details
| NPI number | 1083660351 |
|---|---|
| LBN Legal business name | Victorina, Wilfred M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Feb 20th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083660351 | NPPES |
| Ohio | MEDICAID | 2517486 | |
| Ohio | MEDICAID | 64041114 |
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