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NPISignal

Individual Healthcare Provider

Dwayne Wilson, M.D.

NPI Record: ActivePreventive Medicine — Preventive Medicine/Occupational Environmental Medicine
NPI1043522618
Tampa, Florida

Provider's NPPES record last updated: January 9, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1043522618
Primary Specialty
Preventive Medicine — Preventive Medicine/Occupational Environmental Medicine
Practice Location
Tampa, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 8:16 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Preventive Medicine

    Preventive Medicine/Occupational Environmental Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

    Taxonomy code 2083P0500X
  • Internal Medicine

    Allopathic & Osteopathic Physicians

    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

    Taxonomy code 207R00000X

Provider-Reported License Information

Preventive Medicine (Florida)
ME121189
Internal Medicine (Florida)
ME121189
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3978 W Hillsborough Ave Unit 21b

Tampa, Florida 33614-5628

Phone: (813) 906-1412

Additional Practice Location

919 53rd Ave E

Bradenton, Florida 34203-4801

Phone: (941) 751-8100

Fax: (941) 751-8127

Additional Practice Location

515 W Court St

Pasco, Washington 99301-3737

Phone: (509) 547-2204

Record Information

Enumeration Date
July 12, 2010
Provider's NPPES Record Last Updated
January 9, 2020
Certification Date
January 9, 2020
NPISignal NPPES Dataset
August 2026

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