WILSON FAMILY MEDICINE LLC NPI 1588601421

NPI Information

WILSON FAMILY MEDICINE LLC is a family medicine in Tallahassee, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WILSON FAMILY MEDICINE LLC NPI is 1588601421. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2621 MITCHAM DR
UNIT 103
TALLAHASSEE, FL
ZIP 32308-480
Phone: (850) 219-2273
Fax: (850) 201-2410

The provider's authorized official is Vicari Susan Erwin-wilson .
The authorized official title is Bussiness Owner/md and has the following contact phone number (850) 219-2273.

The CLIA number assigned to this NPI record is 10D1004501 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 9/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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