Individual
DAVID BRENT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308
(850) 877-8174
(850) 877-5636
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(850) 877-5636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5330
GA
363A00000X
Physician Assistant
Primary
PA9106539
FL
Other
Enumeration date
05/12/2008
Last updated
06/20/2018
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