Wilde, James

Wilde, James is an individual health care provider with primary practice located at 2100 Lee Rd , Winter Park FL 32789-1862. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilde, James can be contacted via phone (407) 644-7593.

Contact Information

Primary practice address
2100 Lee Rd Winter Park FL 32789-1862
Phone: (407) 644-7593
Fax: (407) 628-0773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW1958 Florida

Profile Details

NPI number 1750357893
LBN Legal business name Wilde, James
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1750357893 NPPES
Florida Other Z3032 BCBSF PROVIDER NUMBER

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