Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shanique Wilson, MD

Individual provider Gastroenterology Physician · NPI 1578094264

Shanique Wilson, MD is a Gastroenterology in Jacksonville, Florida. Graduated from Florida State University College of Medicine in 2017, 9 years ago. Practices with Borland Groover Clinic, PA, a 126-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Trained at
Florida State University College of Medicine
Licensed in
FL
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3627 University Blvd S Ste 705
Jacksonville, FL 32216-7403
Phone: (904) 398-6718
Fax: (904) 396-0329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence ME162342 (FL)

Record details

NPI number1578094264
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address4800 Belfort Rd, Jacksonville, FL 32256-6004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Borland Groover Clinic, Pa — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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