Search › Florida › 213ES0103X
Richard Wilson, DPM
NPI 1972587350 · on the registry since 2005
Practice
- Address
- 1515 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901 - Phone
- (321) 723-3500
- Fax
- (321) 723-1945
- Organisation at this address
- Melbourne Podiatry Associates, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 1310 W Eau Gallie Blvd Ste E, Melbourne, FL
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213E00000X
213E00000X - Licence states on file
- CO, IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida