WILFORD E. PAULK (NPI# 1861454704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861454704 |
| Entity Type | Individual |
| Full Name | WILFORD E. PAULK |
| Credential | M.D. |
| Practice Address |
14546 Old Saint Augustine Rd Ste 311 Jacksonville FL 32258-5472 |
| Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
| Practice Telephone | 9042602255 |
| Practice Fax Number | 9042602251 |
| Mailing Telephone | 8132860033 |
| Mailing Fax Number | 8132821806 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | ME48260 | FL | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME 48260 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 064742000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10898 Baymeadows Rd Ste 200, Jacksonville, FL 322565838 | 9042602255 | 9045190633 |
| 9404 Waypoint Pl, Jacksonville, FL 322575588 | 9042602255 | 9047397557 |
| Street Address |
14546 OLD SAINT AUGUSTINE RD STE 311 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134181068 | Richard L. Myers | Obstetrics & Gynecology | 14546 Old Saint Augustine Rd Ste 311, Jacksonville, FL 32258-5472 | 2006-04-05 |
| 1235543539 | Blake David Butterworth | Obstetrics & Gynecology | 14546 Old Saint Augustine Rd Ste 311, Jacksonville, FL 32258-5472 | 2014-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
| 1255865036 | Dr. Frances Renee Montgomery | Obstetrics & Gynecology | 1432 Braden St Ste B, Jacksonville, AR 72076-3721 | 2017-04-18 |
| 1891012365 | Jax Ob-gyn Pa | Obstetrics & Gynecology | 4123 University Blvd S., Suite D, Jacksonville, FL 32216 | 2010-04-23 |
| 1801044268 | All Women's Health Center of Jacksonville, Inc. | Obstetrics & Gynecology | 4331 University Blvd S, Jacksonville, FL 32216-4909 | 2008-08-28 |
| 1699985457 | Leslie Beadling | Obstetrics & Gynecology | 8160 Summit Ridge Ln, Jacksonville, FL 32256-7149 | 2007-05-23 |
| 1982700746 | Donald S Freedman Md Pa | Obstetrics & Gynecology | 480 Busch Dr, Jacksonville, FL 32218-5553 | 2006-09-16 |
| 1043313653 | The Womens Clinic | Obstetrics & Gynecology | 219 Station Street, Jacksonville, NC 28546 | 2006-09-07 |
| 1285677849 | Kenneth Kushner | Obstetrics & Gynecology | 5111 Baymeadows Rd, Suite 8, Jacksonville, FL 32217-4800 | 2006-06-13 |
| 1982665279 | Kristin P. Fernandez | Obstetrics & Gynecology | 14534 Old Saint Augustine Rd Ste 3430, Jacksonville, FL 32258-2460 | 2006-03-28 |
| 1790778025 | Amy E Hearne | Obstetrics & Gynecology | 7051 Southpoint Pkwy S, Suite 200, Jacksonville, FL 32216-8713 | 2005-08-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on WILFORD E. PAULK.
| 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.