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Search › Florida › 363LF0000X

Herbert Wilson

NPI 1023481199 · on the registry since 2015

Practice

Address
1307 Providence Rd
Brandon, FL 33511
Phone
(813) 655-4646
Fax
(813) 655-4113
Organisation at this address
Covenant Home Health Care 6, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida