Individual
DR. IRIS M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1502 VILLAGE OAK LN, KISSIMMEE, FL 34746-6558
(407) 520-3588
(407) 978-6757
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(321) 332-6947
(407) 286-4515
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15150
PR
208D00000X
General Practice Physician
21972
PR
208D00000X
General Practice Physician
Primary
ACN1344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111941200
—
FL
Enumeration date
07/16/2020
Last updated
08/14/2025
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