Individual
CARMETA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 QUANTUM LAKES DR STE 203, BOYNTON BEACH, FL 33426-8323
(772) 233-7632
Mailing address
1557 SW IFFLA AVE, PORT SAINT LUCIE, FL 34953-6538
(772) 626-7086
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
FL
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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