Wilcoxon, Dennis Emery
Wilcoxon, Dennis Emery is an sole proprietor health care provider with primary practice located at 2643 Gulf To Bay Blvd Ste 1520 , Clearwater FL 33759. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilcoxon, Dennis Emery can be contacted via phone (727) 799-3937.Contact Information
Primary practice address
2643 Gulf To Bay Blvd Ste 1520
Clearwater FL 33759
Phone: (727) 799-3937
Fax: (727) 210-1189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 2255 | Florida |
Profile Details
| NPI number | 1932105178 |
|---|---|
| LBN Legal business name | Wilcoxon, Dennis Emery |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | May 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932105178 | NPPES |
| Florida | Other | 410039521 | RAIL ROAD MEDICARE |
| Florida | MEDICAID | 078875900 | RAIL ROAD MEDICARE |
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