Rodriguez, Wilson Omar

Rodriguez, Wilson Omar is an individual health care provider with primary practice located at 217 E Central Ave , Winter Haven FL 33880-6312. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Rodriguez, Wilson Omar can be contacted via phone (407) 315-3637.

Contact Information

Primary practice address
217 E Central Ave Winter Haven FL 33880-6312
Phone: (407) 315-3637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2146-PA Puerto Rico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X TPPA690 Florida

Profile Details

NPI number 1063268209
LBN Legal business name Rodriguez, Wilson Omar
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2024
Last updated May 24th, 2024 - 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.

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