Individual
DR. LINDA M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
116 PARSONS PARK DR, BRANDON, FL 33511-6066
(813) 681-6625
(813) 684-6043
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD026147E
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME118638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000866973
—
PA
05
—
012103000
—
FL
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
01/28/2006
Last updated
10/13/2014
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