Wilson, Brandon

Wilson, Brandon is an individual health care provider with primary practice located at 10475 Centurion Pkwy N Ste 220 , Jacksonville FL 32256-5004. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wilson, Brandon can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
10475 Centurion Pkwy N Ste 220 Jacksonville FL 32256-5004
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X PA9107780 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107780 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9107780 Florida

Profile Details

NPI number 1285056770
LBN Legal business name Wilson, Brandon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2014
Last updated Jul 28th, 2025 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285056770 NPPES
Florida MEDICAID 122700900

Popular Providers