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Organization
JAMES P WILSON MD
Active
Organization
JAMES P WILSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILSON (PRACTICE MANAGER)
(850) 862-7604
Entity
Organization
Contact information
Practice address
203 CLOVERDALE BLVD, FORT WALTON BEACH, FL 32547-1405
(850) 862-7604
(850) 862-8156
Mailing address
203 CLOVERDALE BLVD, FORT WALTON BEACH, FL 32547-1405
(850) 862-7604
(850) 862-8156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0039417
FL
Other
Enumeration date
08/05/2006
Last updated
01/23/2013
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