Wilmot, Chester C

Wilmot, Chester C is an individual health care provider with primary practice located at 3525 Lakeland Hills Blvd , Lakeland FL 33805-1965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wilmot, Chester C can be contacted via phone (863) 603-6565.

Contact Information

Primary practice address
3525 Lakeland Hills Blvd Lakeland FL 33805-1965
Fax: (863) 904-1961
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME97851 Florida

Profile Details

NPI number 1740201144
LBN Legal business name Wilmot, Chester C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 28th, 2022 - about 2 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 1740201144 NPPES
Florida MEDICAID 001365900
Florida Other 309495
Florida Other 1073806
Florida Other 6501728
Florida Other 7053917
Florida Other 2700158
Florida Other 78191
Florida Other P00753965

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