Shaw, Wellington (Tony) Wilbert

Shaw, Wellington (Tony) Wilbert is an sole proprietor health care provider with primary practice located at 3872 Long Branch Lane , Apopka FL 32712-4790. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Shaw, Wellington (Tony) Wilbert can be contacted via phone (407) 880-8916.

Contact Information

Primary practice address
3872 Long Branch Lane Apopka FL 32712-4790
Phone: (407) 880-8916
Fax: (407) 880-8916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CAPP-320, NCP-01277 Florida

Profile Details

NPI number 1659608909
LBN Legal business name Shaw, Wellington (Tony) Wilbert
Credentials PHD, NCP, CAPP, CART
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2009
Last updated Nov 6th, 2009 - about 17 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 1659608909 NPPES
Florida Other 904489719 UNITED HEALTH CARE

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