Organization
WILMOTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA WILMOTH (PRESIDENT)
(352) 428-4480
Entity
Organization
Contact information
Practice address
16219 CITRUS WAY, BROOKSVILLE, FL 34614-0856
(352) 428-4480
Mailing address
16219 CITRUS WAY, BROOKSVILLE, FL 34614-0856
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
DY2696
FL
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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