Wilson, Charlene A

Wilson, Charlene A is an individual health care provider with primary practice located at 5955 Ponce De Leon Blvd , Coral Gables FL 33146-2423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Charlene A can be contacted via phone (305) 661-1515.

Contact Information

Primary practice address
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423
Phone: (305) 661-1515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111001 Florida

Profile Details

NPI number 1518465772
LBN Legal business name Wilson, Charlene A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2018
Last updated Apr 3rd, 2018 - about 8 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 1518465772 NPPES
Florida Other PA9111001 FLORIDA DEPARTMENT OF HEALTH

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