Individual
CALI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1034 MAR WALT DR, FORT WALTON BEACH, FL 32547-6639
(850) 863-2153
Mailing address
47 6TH AVE, SHALIMAR, FL 32579-1814
(850) 240-1927
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9115453
FL
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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