Individual
MICHAEL ANTHONY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14400 NW 77TH CT STE 306, MIAMI LAKES, FL 33016-1592
(305) 653-5155
(305) 653-5513
Mailing address
14400 NW 77TH CT STE 306, MIAMI LAKES, FL 33016-1592
(305) 653-5155
(305) 653-5513
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME159174
FL
Other
Enumeration date
08/14/2020
Last updated
09/11/2025
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