Wilson, Tihesha L

Wilson, Tihesha L is an individual health care provider with primary practice located at 3641 S Miami Ave Suite 331, Miami FL 33133-4205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Wilson, Tihesha L can be contacted via phone (305) 285-5040.

Contact Information

Primary practice address
3641 S Miami Ave Suite 331 Miami FL 33133-4205
Phone: (305) 285-5040
Fax: (305) 285-5039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 054703 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X D0067673 Maryland

Profile Details

NPI number 1013997162
LBN Legal business name Wilson, Tihesha L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jun 17th, 2011 - about 15 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 1013997162 NPPES
Other 1942236 AETNA PPO
MEDICAID 767420679A AETNA PPO
Other 7224577 AETNA PPO
MEDICAID 4153308 AETNA PPO
Other K313BR94043801 AETNA PPO
Other 58860013 AETNA PPO

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