Individual
DESHARA L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15303 PLANTATION OAKS DR APT 2, TAMPA, FL 33647-2147
(813) 802-0557
Mailing address
15303 PLANTATION OAKS DR APT 2, TAMPA, FL 33647-2147
(813) 802-0557
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA93749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0557
0557
FL
01
—
0557
DESHARA WILSON
—
Enumeration date
09/24/2020
Last updated
09/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us