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Individual

BRANDI D WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
840 37TH PL STE B, VERO BEACH, FL 32960-6502
(877) 345-9342
(772) 925-8199
Mailing address
827 18TH ST, VERO BEACH, FL 32960-6481
(772) 925-8200
(772) 925-8199

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0430206
KS
207V00000X
Obstetrics & Gynecology Physician
Primary
ME160442
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100458990A
KS
05
118402600
FL
Enumeration date
09/01/2005
Last updated
04/22/2026
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