Organization
LAUREL OAKS FAMILY PRACTICE PA
Active
Other names
Clermont Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B WILSON JR. DO (PRESIDENT)
(407) 877-1990
Entity
Organization
Contact information
Practice address
2711 MAGUIRE RD, OCOEE, FL 34761
(407) 877-1990
(407) 877-1995
Mailing address
2711 MAGUIRE RD, OCOEE, FL 34761
(407) 877-1990
(407) 877-1995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
07/21/2022
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