Provider Demographics
NPI:1770540361
Name:WILKER, JOHN F (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:WILKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:727-322-3439
Mailing Address - Fax:800-928-7449
Practice Address - Street 1:6709 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6834
Practice Address - Country:US
Practice Address - Phone:727-248-0375
Practice Address - Fax:844-388-6186
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0036943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34984OtherBLUE CROSS BLUE SHEILD
FLK4927Medicare ID - Type Unspecified
FL34984OtherBLUE CROSS BLUE SHEILD