Wilson, Larry Todd

Wilson, Larry Todd is an individual health care provider with primary practice located at 2600 Westhall Ln , Maitland FL 32751-7102. 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, Larry Todd can be contacted via phone (407) 200-2300.

Contact Information

Primary practice address
2600 Westhall Ln Maitland FL 32751-7102
Phone: (407) 200-2300
Fax: (407) 303-0580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-9110091 Florida

Profile Details

NPI number 1245297340
LBN Legal business name Wilson, Larry Todd
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 11th, 2023 - about 3 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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