Search › Florida › 207W00000X
Mary Wilson, MD
NPI 1750910949 · on the registry since 2020
Practice
- Address
- 206 Ashourian Ave Ste 215
St Augustine, FL 32092 - Phone
- (904) 296-0098
- Organisation at this address
- Happy Smiles Orthodontics
Lighthouse Dental Studio Pllc
Florida Institute Of Pain Medicine LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 3 Shircliff Way Ste 134, Jacksonville, FL
- 1909 Beach Blvd Ste 101, Jacksonville Beach, FL
- 7205 Bentley Rd, Jacksonville, FL
- 12341 Yellow Bluff Rd Ste 4, Jacksonville, FL
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207WX0200X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-01
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