CRAIG JOHN ROBINSON WILDER ATC NPI 1548896434

NPI Information

NPI: 1548896434
Provider Name: CRAIG JOHN ROBINSON WILDER, ATC
Classification: Preventive Medicine - 2083S0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
777 GLADES RD
BOCA RATON, FL
ZIP 33431
Phone: (561) 297-2044
Get Directions

Craig John Robinson Wilder, ATC is a sports medicine preventive medicine in Boca Raton, FL. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. Craig John Robinson Wilder, ATC NPI is 1548896434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 GLADES RD
BOCA RATON, FL
ZIP 33431-496
Phone: (561) 297-2044
Fax: (561) 297-0468

The enumeration date for this NPI number is 3/23/2020 and was last updated on 3/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083S0010X	Preventive Medicine	Sports Medicine	AL3317	FL	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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