Wilson, Clemente

Wilson, Clemente is an sole proprietor health care provider with primary practice located at 900 W 49Th St Ste 308 , Hialeah FL 33012-3435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Clemente can be contacted via phone (305) 266-2929.

Contact Information

Primary practice address
900 W 49Th St Ste 308 Hialeah FL 33012-3435
Phone: (305) 266-2929
Fax: (305) 558-9039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100865 Florida

Profile Details

NPI number 1467403956
LBN Legal business name Wilson, Clemente
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Nov 27th, 2017 - about 9 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 1467403956 NPPES
Florida Other PA9100865 PHYSICIAN ASSISTANT

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