# LAUREL OAKS FAMILY PRACTICE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clermont Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881784031
- **Authorized official:** MR. JAMES B WILSON JR. DO (PRESIDENT)
- **Authorized official phone:** (407) 877-1990

## Contact information

- **Practice address:** 2711 MAGUIRE RD, OCOEE, FL 34761
- **Practice address phone:** (407) 877-1990
- **Practice address fax:** (407) 877-1995
- **Mailing address:** 2711 MAGUIRE RD, OCOEE, FL 34761
- **Mailing address phone:** (407) 877-1990
- **Mailing address fax:** (407) 877-1995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 07/21/2022