Individual
CHRISTINA ANNETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7999
Mailing address
PO BOX 100236, GAINESVILLE, FL 32610-8025
(352) 273-5550
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME115277
FL
2084V0102X
Vascular Neurology Physician
Primary
ME115277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009016400
—
FL
Enumeration date
07/25/2008
Last updated
03/09/2023
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