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DR. GARY A WILSON M. D.
NPI 1215933056
Surgery - Vascular Surgery in Daytona Beach, FL

Active since June 27, 2005
311 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 947-4650(386) 947-4690 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary A Wilson M. D. NPPES

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

DR. GARY A WILSON M. D. (NPI 1215933056) is an individual vascular surgery provider in Daytona Beach, Florida, licensed in Iowa (34858) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1215933056
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. GARY A WILSONCredential: M. D.
Location Address311 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2781
Mailing Address311 N Clyde Morris BlvdDaytona Beach, FL 32114-2781 · (386) 947-4650 · Fax (386) 947-4690
Phone(386) 947-4650
Fax(386) 947-4690
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateJuly 10, 2009
✔ NPI 1215933056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in IA · 34858
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
311 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
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Other Identifiers 3

Medicare UPINF69785IA
Medicaid0276915IA
Medicare PINI7627IA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. J PATRICK KERR CRNA
Nurse Anesthetist, Certified Registered
311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114
Volusia County (386) 255-1266
DR. BENNETT PETER SCAGLIA M.D.
Urology
311 N CLYDE MORRIS BLVD, SUITE 360
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4199
MS. KIMBERLY KAY KOEVENIG RD, LD/N, CDE
Dietitian, Registered
311 N CLYDE MORRIS BLVD, SUITE 440-OUTPATIENT DIABETES EDUCATION, HALIFAX HEALTH
DAYTONA BEACH, FL 32114
Volusia County (386) 258-4829
HALIFAX HEALTHCARE SYSTEMS, INC
Neurological Surgery
311 N CLYDE MORRIS BLVD, SUITE 550
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4000
CLAYTON T SAXOUR CRNA
Nurse Anesthetist, Certified Registered
311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114
Volusia County (386) 255-1266
PATRICIA GONZALEZ
Nurse Anesthetist, Certified Registered
311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4000
BRENDA L. HART FNP-C, CRNP, CWON
Nurse Practitioner (Family)
311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 425-4267
DAVID SCHULTZ DO
Anesthesiology
311 N CLYDE MORRIS BLVD, SUITE 350
DAYTONA BEACH, FL 32114
Volusia County (386) 255-1266

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 Gary Wilson's NPI number?

The NPI number for Gary Wilson is 1215933056. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Gary Wilson located?

Gary Wilson practices at 311 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 947-4650.

What is Gary Wilson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Gary Wilson was last updated on July 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.