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
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