CAROL WILSON

PORT SAINT LUCIE, FL
NPI1861851529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: FL  363LF0000X)
Enumeration Date2016-02-22
Last Update Date2016-02-22
Business Address
CAROL WILSON
2530 SW SALZEDO AVE
PORT SAINT LUCIE, FL 34987-2244
Phone number: 772-340-1972
Mailing Address
CAROL WILSON
2530 SW SALZEDO AVE
PORT SAINT LUCIE, FL 34987-2244
Phone number: 772-340-1972