Individual
DONALD F WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5002 W LEMON ST, TAMPA, FL 33609-1104
(813) 286-0033
(813) 464-3130
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 464-3130
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME120363
FL
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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