Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215133863 Individual Practitioner Female Practitioner

Barbara Booth Wilson , ATC, LIC

Specialist • Saint Leo, FL

Professional Overview & Biography Verified Profile Summary

Barbara Wilson, ATC, LIC is a registered healthcare professional specializing in Specialist in Saint Leo, FL. Practice services are available at UNIVERSITY CAMPUS MC 2038 SAINT LEO UNIVERSITY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

University Campus Mc 2038 Saint Leo University
33701 St Rd 52

Saint Leo, FL 33574

Telephone 3525888222

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Saint Leo, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Saint Leo, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL AL 1066

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at UNIVERSITY CAMPUS MC 2038 SAINT LEO UNIVERSITY, 33701 ST RD 52, SAINT LEO, FL 33574 (Tel: 3525888222)

📍
Updated Business Mailing Address July 08, 2007

Registered at 25317 TRADEWINDS DR, LAND O LAKES, FL 346395563 (Tel: 8139077414)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BARBARA WILSON, ATC, LIC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #AL 1066 in FL)

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Initial NPI Registration & Enumeration June 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215133863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

25317 Tradewinds Dr

Land O Lakes, FL 346395563

Phone: 8139077414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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