Wilco Civil, D.o. Pllc

NPI #1346854320 in Land O Lakes, Florida

Provider Information

NPI Number: 1346854320
Entity Type: Organization
Organization Name: Wilco Civil, D.o. Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Sep 7, 2020
Last Updated: Nov 4, 2020

Practice Location

Address: 18598 MILTON KEYNES CT
City: Land O Lakes
State: Florida
ZIP Code: 34638-2202
Phone: (813) 403-9096

Authorized Official

Name: DR. WILCO CIVIL, DO
Title: EMPLOYEE
Phone: (813) 403-9096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospice Care, Community Based	251G00000X
Community/Behavioral Health	251S00000X
Clinic/Center	261Q00000X
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Military Outpatient Operational (Transportable) Component — Military Outpatient Operational (Transportable) Component	261QM1102X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Clinic/Center - VA — VA	261QV0200X
Hospice, Inpatient	315D00000X
Non-Pharmacy Dispensing Site	332900000X
Internal Medicine	207R00000X	Primary

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