Individual
DANIEL G WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1821 BLANDING BLVD, SUITE 1, MIDDLEBURG, FL 32068-3839
(904) 406-3160
(904) 406-3159
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0192
(904) 282-6331
(904) 282-4117
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2944
FL
Other
Enumeration date
02/01/2006
Last updated
11/29/2016
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