Individual
DR. MICHELLE ELIZABETH WILSON LATTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6111
Mailing address
1638 NW 10TH AVE BLDG SUITE114, MIAMI, FL 33136-1015
(305) 482-4775
(305) 326-6306
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
136723
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
2016-01339
NC
Other
Enumeration date
01/18/2012
Last updated
01/10/2022
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