Individual
ETHEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 MERCY DR, SUITE 302, ORLANDO, FL 32808-5646
(407) 875-3700
(407) 522-4671
Mailing address
1800 MERCY DR, SUITE 302, ORLANDO, FL 32808-5646
(407) 875-3700
(407) 522-4671
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2163612
FL
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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