Wilson, Nancy Marguerite

Wilson, Nancy Marguerite is an individual health care provider with primary practice located at 1700 S Tamiami Trl , Sarasota FL 34239-3509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Wilson, Nancy Marguerite can be contacted via phone (941) 917-1668.

Contact Information

Primary practice address
1700 S Tamiami Trl Sarasota FL 34239-3509
Fax: (941) 917-4232
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0043183 Florida

Profile Details

NPI number 1417939083
LBN Legal business name Wilson, Nancy Marguerite
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 2nd, 2012 - about 12 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 1417939083 NPPES
Florida MEDICAID 69700100

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