Marilyn Wilson

NPI 1598448938 · on the registry since 2023 · sole proprietor

Practice

Address: 14500 Us Highway 301 S
Starke, FL 32091
Phone: (904) 964-2250
Fax: (904) 964-2425
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-08-11

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