Individual
LADARIUS MARKEL WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13700 58TH ST N STE 209, CLEARWATER, FL 33760-3757
(727) 223-6454
Mailing address
13700 58TH ST N UNIT 209, CLEARWATER, FL 33760-3757
(727) 223-6454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
W238267138000
FL
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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