JAMES R WILSON MD PA
Osteopathic Medicine at Landover Blvd, Brooksville, FL

License number
Florida ME0014846
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: MR. JAMES ROBERT WILSON MD
Title: OWNER
Phone: (352) 683-8120
Address
Address
3017 Landover Blvd, Brooksville, FL 34608
National Provider ID: 1376606533
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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James R. Wilson, M.D., PA

Brooksville, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
James R Wilson MD
Registration:
Sep 22, 1993
Phone:
(352) 683-8120 (Phone)
Addresses:
3017 Landover Blvd, Brooksville, FL 34608
2164 Fawn Ln, Brooksville, FL 34608
State ID:
P93000074137
Business type:
Domestic for Profit Corporation
President, Treasurer, Secretary, Director, Owner:
James R. Wilson President, Treasurer, Secretary, Director, Owner, inactive

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