Wilson, Vance Eugene

Wilson, Vance Eugene is an individual health care provider with primary practice located at 695 N Clyde Morris Blvd , Daytona Beach FL 32114-2321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Wilson, Vance Eugene can be contacted via phone (386) 258-8722.

Contact Information

Primary practice address
695 N Clyde Morris Blvd Daytona Beach FL 32114-2321
Phone: (386) 258-8722
Fax: (386) 258-8659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0062094 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME0062094 Florida

Profile Details

NPI number 1487614947
LBN Legal business name Wilson, Vance Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Oct 10th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487614947 NPPES
Florida Other 15073 BCBS
Florida MEDICAID 370394100 BCBS

Popular Providers