BASIL ALEXANDER WILSON

LAKELAND, FL
NPI1447259569
Other NameBASIL A. WILSOM
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP 2068702)
Enumeration Date2005-07-20
Last Update Date2013-10-14
Business Address
Mr. BASIL ALEXANDER WILSON ARNP
1801 CRYSTAL LAKE DR
LAKELAND, FL 33801-5979
Phone number: 863-937-8886
Mailing Address
Mr. BASIL ALEXANDER WILSON ARNP
4863 FOXRUN CIR
LAKELAND, FL 33813-2229
Phone number: 954-260-7525
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