LAURENCE EDWARD WILDRICK (NPI# 1508035908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508035908 |
Entity Type | Individual |
Full Name | LAURENCE EDWARD WILDRICK |
Credential | MD |
Practice Address |
1000 S Highlands Ave Sebring FL 33870 |
Mailing Address |
9018 Placid Lakes Blvd Lake Placid FL 33852 |
Practice Telephone | 8634026858 |
Mailing Telephone | 8636991133 |
Enumeration Date | 2008-02-29 |
Last Update Date | 2008-02-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
FLME84366 | FL | Allopathic & Osteopathic Physicians |
Street Address |
1000 S HIGHLANDS AVE |
City | SEBRING |
State | FL |
Zip Code | 33870 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013265545 | William John | Case Manager/Care Coordinator | 1000 S Highlands Ave, Sebring, FL 33870-3837 | 2012-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
1407401177 | Divine Family Solutions, LLC | Home Health | 227 Us Hwy North, 221, Sebring, FL 33870 | 2019-08-08 |
1881179836 | Two Hearts Companion Homemaker Serv. | In Home Supportive Care | 3320 New York Ave, Sebring, FL 33870 | 2018-09-26 |
1144719154 | Hearing Healthcare Solutions Inc | Hearing Aid Equipment | 4206 Sebring Parkway, Sebring, FL 33870 | 2018-05-04 |
1093266017 | Choices Counseling Services, LLC | Counselor | 32313 Broadway Street Suite #306, Sebring, FL 33870 | 2016-10-14 |
1962959940 | Abundance, Mental Health Counseling LLC | Counselor | 32313 Broadway St, Suite 310, Sebring, FL 33870 | 2016-09-07 |
1205221470 | Newsom Surgery Center of Sebring LLC | Clinic/Center | 4211 Us Hwy 27 N, Sebring, FL 33870 | 2015-04-03 |
1063805612 | Art of Caring Home Care Services | Home Health | 113 W Center Ave, Sebring, FL 33870 | 2015-03-06 |
1508254228 | Lodin Health Imaging Inc | Clinic/Center | 114 -115 Medical Center Ave, Sebring, FL 33870 | 2015-01-05 |
1790180594 | Conrad Walters | Pharmacist | 3619 Us Hwy 27 N, Sebring, FL 33870 | 2014-10-23 |
Find all providers in zip 33870 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982664595 | James A Drury | Psychiatry & Neurology | 1062 Lake Sebring Dr, Sebring, FL 33870-1426 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
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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.