Individual
MRS. CAROL ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 LAKE UNDERHILL RD, ORLANDO, FL 32822-8231
(407) 658-1045
Mailing address
3797 BECONTREE PL, OVIEDO, FL 32765-9631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS28740
FL
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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