WILCO CIVIL, D.O. PLLC (NPI# 1346854320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346854320 |
| Entity Type | Organization |
| Organization Name | WILCO CIVIL, D.O. PLLC |
| Other Organization Name | CIVIL MEDICAL |
| Practice Address |
18598 Milton Keynes Ct Land O Lakes FL 34638-2202 |
| Mailing Address |
5230 Land O Lakes Blvd #2873 Land O Lakes FL 34639 |
| Practice Telephone | 8134039096 |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DR. WILCO CIVIL (EMPLOYEE) |
| Authorized Official Telephone | 8134039096 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QM1102X |
Clinic/Center Specialization: Military Outpatient Operational (Transportable) Component |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities | ||
| N | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA DEPARTMENT OF HEALTH | OS16855 | 01 |
| Other Name | Type Code |
|---|---|
| Civil Medical | Doing Business As Name - Organization |
| Street Address |
18598 MILTON KEYNES CT |
| City | LAND O LAKES |
| State | FL |
| Zip Code | 34638-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609341833 | Medical Risk Solutions | Family Medicine | 20360 Gator Lane, Land O Lakes, FL 34638 | 2018-10-03 |
| 1558845313 | Connerton Urgent Care LLC | Clinic/Center | 8527 Land O Lakes Blvd, Land O Lakes, FL 34638 | 2018-09-18 |
| 1588152441 | Aamani Jupalli | Student in an Organized Health Care Education/Training Program | 17801 Ayrshire Blvd, Land O Lakes, FL 34638 | 2018-04-26 |
| 1548764921 | Ibukun Woodson | Nurse Practitioner | 17446 Queensland St, Land O Lakes, FL 34638 | 2018-03-21 |
| 1851824106 | Lisa Ann Brooks | Dentist | 17780 Aprile Dr, Land O Lakes, FL 34638 | 2017-04-04 |
| 1437503653 | Luis A Vega | Social Worker | 17354 Criket Chirp Loop, Land O Lakes, FL 34638 | 2016-04-14 |
| 1548634157 | Diedre Smith | Registered Nurse | 9624 Maxson Drive, Land O Lakes, FL 34638 | 2015-11-19 |
| 1275806861 | Sylvia Zaky | Pharmacist | 2713 Butterfly Landing Drive, Land O Lakes, FL 34638 | 2012-02-14 |
| 1528225612 | Susan Louise Rarick | Psychologist | 20747 Sterlington Drive, Land O Lakes, FL 34638 | 2008-05-17 |
| 1851585665 | Royalty Care Services | Custodial Care Facility | 2930 Downan Point Drive, Land O Lakes, FL 34638 | 2007-09-05 |
| Find all providers in zip 34638 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893260 | Mcr Health, Inc. | Internal Medicine | 20360 Gator Ln Bldg 14, Land O Lakes, FL 34638-2802 | 2019-07-19 |
| 1932339926 | Primecare Medical Group LLC | Internal Medicine | 2638 Narnia Way Unit 101, Land O Lakes, FL 34638-7321 | 2009-07-23 |
| 1356571525 | Mrunal Vinodchandra Shah | Internal Medicine | 3235 Helmel Ct, Land O Lakes, FL 34638-8113 | 2009-07-21 |
| 1932396504 | Physicians Group Internal Medicine | Internal Medicine | 2651 Narnia Way, Land O Lakes, FL 34638-7233 | 2007-09-27 |
| 1376612481 | Rashid I Saba | Internal Medicine | 2916 Lochcarron Dr, Land O Lakes, FL 34638-7865 | 2006-11-06 |
| 1306814694 | Naresh P Menezes | Internal Medicine | 2100 Via Bella Blvd Ste 204, Land O Lakes, FL 34639-5429 | 2006-03-10 |
| 1821084740 | Jungsil K Cusimano | Internal Medicine | 3608 Ballastone Dr, Land O Lakes, FL 34638-8069 | 2005-09-26 |
| 1245499615 | Yamitza Cordero-ferrer | Internal Medicine | 2100 Via Bella Blvd Ste 204, Land O Lakes, FL 34639-5429 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699034 | Sia - Specialty Infusion LLC | Internal Medicine | 2200 Glades Rd Ste 304, Boca Raton, FL 33431-7348 | 2020-11-04 |
| 1255932703 | Cape Coral Integrated Medical | Internal Medicine | 643 Cape Coral Pkwy E Ste E, Cape Coral, FL 33904-8549 | 2020-11-02 |
| 1497355887 | Orange Care Physician Partners of Florida, LLC | Internal Medicine | 14750 Nw 77th Ct Ste 308, Miami Lakes, FL 33016-1537 | 2020-10-27 |
| 1811596562 | Shari Rosenbaum Md Pllc | Internal Medicine | 1905 Clint Moore Rd Ste 204, Boca Raton, FL 33496-2660 | 2020-10-23 |
| 1801495585 | United Teledoc Inc | Internal Medicine | 231 Del Prado Blvd S, Cape Coral, FL 33990-5707 | 2020-10-22 |
| 1467051896 | Jermaine Campbell Do, LLC | Internal Medicine | 2701 N Course Dr Apt 125, Pompano Beach, FL 33069-3030 | 2020-10-16 |
| 1245838150 | Neighbormd of Tamarac LLC | Internal Medicine | 7646 N Nob Hill Rd, Tamarac, FL 33321-1869 | 2020-10-13 |
| 1841898756 | Neighbormd of Miami Beach LLC | Internal Medicine | 4302 Alton Rd Ste 320, Miami Beach, FL 33140-2818 | 2020-10-13 |
| 1437757358 | Neighbormd of Palm Beach Gardens | Internal Medicine | 3345 Burns Rd Ste 204&205, Palm Beach Gardens, FL 33410-4324 | 2020-10-13 |
| 1306444211 | Neighbormd of Aventura LLC | Internal Medicine | 2845 Aventura Blvd Ste 240, Aventura, FL 33180-3120 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | LAND O LAKES |
| Zip Code | 34638 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.