Individual
CHRISTOPHER M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 82ND AVE STE 102, VERO BEACH, FL 32966-6991
(772) 337-8164
Mailing address
567 NW LAKE WHITNEY PL STE 101, PORT ST LUCIE, FL 34986-1629
(772) 337-8164
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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