Individual
MR. ERIC EUGENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
621 LAKEVIEW RD, SUITE B, CLEARWATER, FL 33756-3364
(727) 461-9808
(727) 461-9809
Mailing address
621 LAKEVIEW RD, SUITE B, CLEARWATER, FL 33756-3364
(727) 461-9808
(727) 461-9809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA13827
FL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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