Wilson, James Bradley

Wilson, James Bradley is an individual health care provider with primary practice located at 17327 Pagonia Rd , Clermont FL 34711-6009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, James Bradley can be contacted via phone (407) 905-6009.

Contact Information

Primary practice address
17327 Pagonia Rd Clermont FL 34711-6009
Phone: (407) 905-6009
Fax: (407) 636-7849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS7986 Florida

Profile Details

NPI number 1992747034
LBN Legal business name Wilson, James Bradley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 5th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992747034 NPPES
Florida Other OS 7986 FLORIDA LISCENSE

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