Wilson, Linda M.

Wilson, Linda M. is an individual health care provider with primary practice located at 116 Parsons Park Dr , Brandon FL 33511-6066. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wilson, Linda M. can be contacted via phone (813) 681-6625.

Contact Information

Primary practice address
116 Parsons Park Dr Brandon FL 33511-6066
Fax: (813) 684-6043
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME118638 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD026147E Pennsylvania

Profile Details

NPI number 1861463861
LBN Legal business name Wilson, Linda M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Oct 13th, 2014 - about 10 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 1861463861 NPPES
Florida MEDICAID 012103000
Florida MEDICAID 000866973
Florida Other 232359401

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