Organization
MARIA CARMEN WILSON, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA CARMEN WILSON M.D (PRESIDENT)
(813) 728-7803
Entity
Organization
Contact information
Practice address
14499 N DALE MABRY HWY, SUITE 162, TAMPA, FL 33618-2078
(813) 961-0689
(813) 265-0877
Mailing address
14499 N DALE MABRY HWY, SUITE 162, TAMPA, FL 33618-2078
(813) 961-0689
(813) 265-0877
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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