Individual
MRS. KADINE TASHIKA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11141 TORTUGA BND APT 106, ORLANDO, FL 32825-6184
(954) 770-3544
Mailing address
11141 TORTUGA BND APT 106, ORLANDO, FL 32825-6184
(195) 477-0354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9116408
FL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/05/2022
Last updated
12/16/2022
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