Individual
TANIA ANNTOINETTE WILSON-OCRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
60 NE 212TH TER, MIAMI, FL 33179-1019
(305) 747-9579
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN3072872
FL
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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