MR. Larry Todd Wilson, PA-C

NPI #1245297340 in Maitland, Florida

Provider Information

NPI Number: 1245297340
Entity Type: Individual
Name: MR. Larry Todd Wilson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 1, 2006
Last Updated: Oct 11, 2023

Practice Location

Address: 2600 WESTHALL LN
City: Maitland
State: Florida
ZIP Code: 32751-7102
Phone: (407) 200-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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