Wilson, Carmen Josefa

Wilson, Carmen Josefa is an individual health care provider with primary practice located at 4101 Evans Ave , Fort Myers FL 33901-9310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wilson, Carmen Josefa can be contacted via phone (941) 792-2020.

Contact Information

Primary practice address
4101 Evans Ave Fort Myers FL 33901-9310
Phone: (941) 792-2020
Fax: (239) 936-8776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 044609 Georgia

Profile Details

NPI number 1871593764
LBN Legal business name Wilson, Carmen Josefa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871593764 NPPES
Georgia MEDICAID 000791249B

Popular Providers