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1447622055
TIMOTHY DAVID WILCOX
ORLANDO, FL
NPI
1447622055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
(Licence: FL PTA 24035)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- TIMOTHY DAVID WILCOX PTA
3920 ROSEWOOD WAY
ORLANDO, FL 32808-1033
Phone number: 407-730-3859
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Mailing Address
-- TIMOTHY DAVID WILCOX PTA
3920 ROSEWOOD WAY
ORLANDO, FL 32808-1033
Phone number: 407-730-3859
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