Individual
DR. MATTHEW WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741
(407) 518-4256
Mailing address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 518-4256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302039491
MI
1835C0205X
Critical Care Pharmacist
Primary
PS52526
FL
Other
Enumeration date
11/17/2011
Last updated
05/22/2018
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