Individual provider · Type 1 NPI

Richard C. Wilson, DPM

Foot & Ankle Surgery Podiatrist · Melbourne, FL

NPI number 1972587350 Active

Practice location

1515 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901-2946

Call (321) 723-3500 Map

Fax (321) 723-1945

Other practice locations

  • 1310 W Eau Gallie Blvd Ste E, Melbourne, FL 32935-5300 · (321) 255-3338

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X421 (CO)
Podiatrist 213E00000X016003144 (IL)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO1322 (FL)

Foot & Ankle Surgery Podiatrist: Definition to come...

4 other providers at this address

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About NPI 1972587350

Richard C. Wilson, DPM's National Provider Identifier is 1972587350, issued on Nov 30, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Melbourne, FL. The record was last updated on May 12, 2023.