STEVEN A. WILSON DC DABCN PA NPI 1760792428

NPI Information

STEVEN A. WILSON DC DABCN PA is a clinic center in Brandon, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). STEVEN A. WILSON DC DABCN PA NPI is 1760792428. The provider is registered as an organization entity type.

The provider's business location address is:

303 BRYAN RD
SUITE 2
BRANDON, FL
ZIP 33511-342
Phone: (813) 681-4418
Fax: (813) 684-8397

The provider's authorized official is Steven Anthony Wilson .
The authorized official title is Owner and has the following contact phone number (813) 681-4418.

The enumeration date for this NPI number is 10/15/2010 and was last updated on 10/15/2010.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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