Herbert Wilson

NPI #1023481199 in Brandon, Florida

Provider Information

NPI Number
1023481199
Entity Type
Individual
Name
Herbert Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 11, 2015
Last Updated
Apr 19, 2018

Practice Location

Address
1307 PROVIDENCE RD
State
Florida
ZIP Code
33511-4885
Phone
(813) 655-4646

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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