MR. CLEOPATRA WILDER (NPI# 1386005015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386005015 |
| Entity Type | Individual |
| Full Name | MR. CLEOPATRA WILDER |
| Credential | CSFA |
| Practice Address |
30436 Annadale Dr Wesley Chapel FL 33545-4169 |
| Practice Telephone | 8132442012 |
| Mailing Telephone | 8132442012 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30436 ANNADALE DR |
| City | WESLEY CHAPEL |
| State | FL |
| Zip Code | 33545-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326663758 | Wesley Chapel Family Dental, P.a. | Clinic/Center | 5879 Argerian Drive, Wesley Chapel, FL 33545 | 2020-06-11 |
| 1598230740 | Medical Risk Solutions | Family Medicine | 30833 Wells Road, Wesley Chapel, FL 33545 | 2018-10-03 |
| 1700329489 | Jermaine Johnson | Counselor | 5452 Treig Ln, Wesley Chapel, FL 33545 | 2016-11-29 |
| 1497131593 | Tiffany Tyner | Case Manager/Care Coordinator | 30327 Pongo Way, Wesley Chapel, FL 33545 | 2015-07-31 |
| 1912309345 | Emily Elizabeth Hovet | Midwife | 30220 Birdhouse Dr, Wesley Chapel, FL 33545 | 2014-09-17 |
| 1679907588 | Santresa Mitchell | Occupational Therapist | 6907 Runner Oak Dr, Wesley Chapel, FL 33545 | 2013-08-27 |
| 1669736070 | Shilpa M Das | Dentist | 5879 Argerian Dr., Wesley Chapel, FL 33545 | 2012-06-29 |
| 1053613034 | Amber Zooberg | Behavioral Analyst | 4324 Huddlestone Dr, Wesley Chapel, FL 33545 | 2010-11-24 |
| 1841430626 | Anna Randazzo | Behavioral Analyst | 4914 Hidden Hills Ln., Wesley Chapel, FL 33545 | 2009-03-06 |
| 1942853619 | Mcr Health, Inc. | Family Medicine | 30833 Wells Road, Wesley Chapel, FL 33545 | 2019-07-22 |
| Find all providers in zip 33545 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457837874 | James Bishop | Physician Assistant | 2352 Bruce B Downs Blvd # 102, Wesley Chapel, FL 33544 | 2018-07-18 |
| 1750876090 | Rebecca Jo Fisher | Physician Assistant | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544 | 2018-06-28 |
| 1285147447 | Robert Taliaferro Jr. | Physician Assistant | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544-9203 | 2017-11-09 |
| 1609267079 | Lindsey B Cornwell | Physician Assistant | 2700 Healing Way Ste 300, Wesley Chapel, FL 33543-5453 | 2015-02-06 |
| 1750770657 | Erica Franchick | Physician Assistant | 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544-9203 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | WESLEY CHAPEL |
| Zip Code | 33545 |
Please comment or provide details below to improve the information on MR. CLEOPATRA WILDER.
| 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.