Active NPI
Wilco Civil, D.O.
- Internal Medicine Physician
- Saint Cloud, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS16855
- Practice address
- 2906 17TH St
Saint Cloud, FL 34769-6006 - Phone
- (321) 841-7856
- Fax
- (321) 843-6432
- NPI assigned
- Aug 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | OS16855 | FL | |
| Internal Medicine Physician | 207R00000X | OS16855 | FL | Primary |
Addresses
Primary practice location
2906 17TH St
Saint Cloud, FL 34769-6006
Mailing address
3231 McMullen Booth Rd FL 1
Safety Harbor, FL 34695-6607
Phone (727) 725-6905
Other practice location 1
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (813) 870-4933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109134800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Philadelphia College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
2906 17TH St
Saint Cloud, FL 34769-6006
Phone (321) 841-7856
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
601 Main St
Dunedin, FL 34698
Phone (727) 461-1133
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
2906 17th St
Saint Cloud, FL 34769
Phone (407) 425-4847
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Internal Medicine
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba St Cloud Regional Medical Center
- General Acute Care Hospital
- Saint Cloud, FL
- NPI 1164478442
-
dba Mease Countryside Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1679099519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 MCMULLEN BOOTH RD FL 1",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346956607",
"telephone_number": "727-725-6905",
"fax_number": "727-266-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 17TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347696006",
"telephone_number": "321-841-7856",
"fax_number": "321-843-6432"
}
],
"practiceLocations": [
{
"address_1": "3231 McMullen Booth Rd",
"address_purpose": "LOCATION",
"city": "Safety Harbor",
"state": "FL",
"postal_code": "346956607",
"country_code": "US",
"telephone_number": "813-870-4933",
"fax_number": "813-870-4888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CIVIL",
"first_name": "WILCO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS16855",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS16855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109134800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.