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
Fax: (386) 225-4465
Website:

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 7 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 1083660351 NPPES
Ohio MEDICAID 2517486
Ohio MEDICAID 64041114

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