Individual
ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM, RD
Contact information
Practice address
8424 4TH ST N, SAINT PETERSBURG, FL 33702-3659
(256) 682-1763
Mailing address
211 SW MADISON CIR N, SAINT PETERSBURG, FL 33703-1314
(256) 682-1763
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
171100000X
Acupuncturist
Primary
4024
FL
Other
Enumeration date
02/06/2019
Last updated
03/10/2025
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