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Fred Wilson

NPI 1396148623 · on the registry since 2014 · sole proprietor

Practice

Address
945 N Liberty St
Apt B219
Jacksonville, FL 32206
Phone
(904) 238-1240
Fax
(904) 358-1551

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2014-10-01

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