Individual
DIANA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9582 W COLONIAL DR, OCOEE, FL 34761-6992
(407) 363-6700
(407) 865-6012
Mailing address
7918 VERSILIA DR., ORLANDO, FL 32836
(407) 354-3765
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME78506
FL
Other
Enumeration date
03/06/2012
Last updated
03/02/2018
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