Internal Medicine & Pediatrics Wellness Center

NPI #1992825145 in Crystal River, Florida

Provider Information

NPI Number: 1992825145
Entity Type: Organization
Organization Name: Internal Medicine & Pediatrics Wellness Center
Primary Specialty: Internal Medicine
Enumeration Date: Mar 30, 2007
Last Updated: Jun 5, 2014

Practice Location

Address: 6038 W. NORDLING LOOP
City: Crystal River
State: Florida
ZIP Code: 34429
Phone: (352) 795-2459

Authorized Official

Name: MRS. CARLENE A. WILSON, MD
Title: OWNER/PHYSICIAN
Phone: (352) 795-2459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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