| NPI | 1154519767 |
|---|---|
| Former Legal Business Name | HENRY E WILEY III MD PA |
| Entity Type | Organization |
| Authorized Contact | HENRY E WILEY President 813-253-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-11-06 |