Wilfong, Adam

Wilfong, Adam is an individual health care provider with primary practice located at 17240 Cortez Blvd , Brooksville FL 34601-8921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wilfong, Adam can be contacted via phone (305) 544-6050.

Contact Information

Primary practice address
17240 Cortez Blvd Brooksville FL 34601-8921
Phone: (305) 544-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME65476 Florida

Profile Details

NPI number 1154341956
LBN Legal business name Wilfong, Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154341956 NPPES
Florida MEDICAID 251882100

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