Wilson, Matthew

Wilson, Matthew is an individual health care provider with primary practice located at 4195 Hield Rd Nw , Palm Bay FL 32907-6310. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wilson, Matthew can be contacted via phone (407) 361-5788.

Contact Information

Primary practice address
4195 Hield Rd Nw Palm Bay FL 32907-6310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1356614150
LBN Legal business name Wilson, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2012
Last updated Jul 7th, 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.

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