Jean K Wilson is a Pediatrics in Miami, Florida. Jean K Wilson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jean K Wilson is 1720161094. The last update date is 2007-07-08.
Jean K Wilson's current location address is 9720 Sw 162nd St, Miami, Florida. You can contact this provider via phone number 3052533391 and fax number 3052517490. The mailing address for Jean K Wilson is 9720 Sw 162nd St, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean K Wilson |
|---|---|
| Address | 9720 Sw 162nd St, Miami, Florida |
| Phone Number | 3052533391 |
| Fax Number | 3052517490 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720161094 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9720 Sw 162nd St |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331573318 |
| Phone Number | 3052533391 |
| Fax Number | 3052517490 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 3426 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identification code issued to Jean K Wilson by the Centers for Medicare & Medicaid Services?
The Jean K Wilson has been assigned the NPI (National Provider Identifier) 1720161094 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jean K Wilson?
The Jean K Wilson is situated at 9720 Sw 162Nd St, in the city of Miami, state of FL, with the zip code 331573318.
What is Jean K Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jean K Wilson is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720161094 to Jean K Wilson?
The Centers for Medicare & Medicaid Services assigned the 1720161094 to Jean K Wilson on 2006-10-23.
When was the Jean K Wilson's information last updated?
The Jean K Wilson's information was last updated on 2007-07-08.
NPI Number: 1982607784
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