Wilco Civil, D.O. PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WILCO CIVIL, D.O. PLLC

Practice address

18598 Milton Keynes CT
Land O Lakes, FL 34638-2202

Phone

(813) 403-9096

NPI assigned

Sep 7, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wilco Civil, DO

Title

Employee

Phone

(813) 403-9096

Specialties & licenses 11

Addresses

Other identifiers 1

Other names 1

• Civil Medical Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1346854320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 LAND O LAKES BLVD",
            "address_2": "#2873",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "34639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18598 MILTON KEYNES CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382202",
            "telephone_number": "813-403-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCO CIVIL, D.O. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "CIVIL",
        "authorized_official_first_name": "WILCO",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "813-403-9096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1102X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "OS16855",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Civil Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Westfall, LMHC
• Courtney Lynn Whitaker, BA/SLP
• Sarah White, OT
• Angelique Whitehouse
• Whole Path Healing & Wellness LLC
• Jodie Nicole Wilke, APRN
• Erica Carmelita Williams, NURSE PRACTITIONER
• Crystal Willson, LMHC
• Andrea Lyn Wilson, LMHC
• Timothy Michael Wise, PHARM.D.

• Internal Medicine Physician in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.