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Organization
WILSON MEDICAL PRACTICE NP
Active
Organization
WILSON MEDICAL PRACTICE NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT M WILSON APRN (APRN)
(239) 322-6470
Entity
Organization
Contact information
Practice address
2028 NW 6TH ST, CAPE CORAL, FL 33993-7527
(239) 322-6470
(239) 206-2449
Mailing address
2030 NW 5TH TER, CAPE CORAL, FL 33993-7536
(239) 322-6470
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/17/2021
Last updated
01/06/2022
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