IndividualActive
Dwayne Wilson, M.D.
NPI 1043522618 · Preventive Medicine/Occupational Environmental Medicine Physician · Tampa, FL
Provider details
- NPI number
- 1043522618
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME121189 (FL)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense ME121189 (FL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3978 W Hillsborough Ave Unit 21b
Tampa, FL 33614-5628
Phone: (813) 906-1412
Fax: (813) 413-1971
Street-level locationGet directions
Mailing address
6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Additional practice locations (2)
- 919 53rd Ave EBradenton, FL 34203-4801Phone: (941) 751-8100Fax: (941) 751-8127
- 515 W Court StPasco, WA 99301-3737Phone: (509) 547-2204
Registry dates
- Enumerated
- 2010-07-12
- Last updated
- 2020-01-09
- Certified
- 2020-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.