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Organization
WILSON FAMILY MEDICINE LLC
Active
Organization
WILSON FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICARI SUSAN ERWIN-WILSON MD (BUSSINESS OWNER/MD)
(850) 219-2273
Entity
Organization
Contact information
Practice address
2621 MITCHAM DR, UNIT 103, TALLAHASSEE, FL 32308-5480
(850) 219-2273
(850) 201-2410
Mailing address
2621 MITCHAM DRIVE, UNIT 103, TALLAHASSEE, FL 32308-5307
(850) 219-2273
(850) 201-2410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
800017593
FL
Other
Enumeration date
05/31/2006
Last updated
09/30/2008
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