Organization
JESSICA J WILSON CHAN D O PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA JILL WILSON-CHAN DO (PHYSICIAN)
(813) 978-0020
Entity
Organization
Contact information
Practice address
14522 UNIVERSITY POINT PL, TAMPA, FL 33613-5425
(813) 978-0020
(813) 972-9024
Mailing address
14522 UNIVERSITY POINT PL, TAMPA, FL 33613-5425
(813) 978-0020
(813) 972-9024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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