Individual
MS. DONETA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1515 N UNIVERSITY DR STE 217, CORAL SPRINGS, FL 33071-8933
(305) 931-7424
Mailing address
1380 NE MIAMI GARDENS DR STE 210, NORTH MIAMI BEACH, FL 33179-4709
(305) 931-7424
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
9275062
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11002557
FL
Other
Enumeration date
04/27/2019
Last updated
07/11/2023
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