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Organization
VINCENT PAUL WILSON MD,PA
Active
Organization
VINCENT PAUL WILSON MD,PA
Active
Other names
MAITLAND PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT PAUL WILSON MD (PRESIDENT)
(407) 678-3255
Entity
Organization
Contact information
Practice address
301 S MAITLAND AVE, SUITE B, MAITLAND, FL 32751-5631
(407) 678-3255
Mailing address
301 S MAITLAND AVE, SUITE B, MAITLAND, FL 32751-5631
(407) 678-3255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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