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JACK J WILSON MD PA
NPI 1083644025
Obstetrics & Gynecology in Winter Park, FL

Active since July 04, 2006
2025 SUMMERLAND AVE, WINTER PARK, FL 32789(407) 628-0853(407) 628-0853 Get Directions Write a Review

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack J Wilson Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK J WILSON MD PA (NPI 1083644025) is a healthcare organization registered as an obstetrics & gynecology in Winter Park, Florida and active in the NPI registry since July 2006. The organization lists Jack J Wilson, Pres, as its authorized official.

NPPES Registry Identity

NPI1083644025
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJACK J WILSON MD PA
Location Address2025 SUMMERLAND AVEWinter Park, FL 32789-1453
Mailing Address2025 Summerland AveWinter Park, FL 32789-1453 · (407) 628-0853 · Fax (407) 628-0853
Phone(407) 628-0853
Fax(407) 628-0853
Organization SubpartNo
Authorized OfficialJack J WilsonPres · (407) 628-0853
Enumeration DateJuly 4, 2006
Last NPPES UpdateJune 7, 2010
✔ NPI 1083644025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME 0058840
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2025 SUMMERLAND AVE, Winter Park, FL 32789
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Other Identifiers 1

Medicare PINK1104FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack J Wilson MD PA's NPI number?

The NPI number for Jack J Wilson MD PA is 1083644025. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Jack J Wilson MD PA located?

Jack J Wilson MD PA is located at 2025 Summerland Ave, Winter Park, FL 32789. The listed phone number is (407) 628-0853.

What is Jack J Wilson MD PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Jack J Wilson MD PA was last updated on June 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.