Clemente Wilson in Hialeah - Physician Assistant
Clemente Wilson - NPI 1467403956
Clemente Wilson is a Physician Assistant in Hialeah, Florida. Clemente Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Clemente Wilson is 1467403956. The last update date is 2017-11-27.
Clemente Wilson's current location address is 900 W 49th St Ste 308, Hialeah, Florida. You can contact this provider via phone number 3052662929 and fax number 3055589039. The mailing address for Clemente Wilson is 900 W 49th St Ste 308, Hialeah, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Clemente Wilson |
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Address | 900 W 49th St Ste 308, Hialeah, Florida |
Phone Number | 3052662929 |
Fax Number | 3055589039 |
Sole Proprietor | Y |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1467403956 |
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Provider Enumeration Date | 2006-05-12 |
Last Updated Date | 2017-11-27 |
Provider Mailing Address Detail
Address | 900 W 49th St Ste 308 |
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City | Hialeah |
State | Florida (FL) |
Post Code | 3301234350 |
Phone Number | 3052662929 |
Fax Number | 3055589039 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA9100865 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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PA9100865 | FL | PHYSICIAN ASSISTANT |
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What is the unique 10-digit identifier code assigned to Clemente Wilson by the Centers for Medicare & Medicaid Services?
The Clemente Wilson has been issued the NPI (National Provider Identifier) 1467403956 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Clemente Wilson's physical address?
The Clemente Wilson is physically located at 900 W 49Th St Ste 308, in the city of Hialeah, FL, with the postal code 3301234350.
What is the area of specialization for Clemente Wilson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clemente Wilson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Clemente Wilson receive the assignment of its 1467403956 from the Centers for Medicare & Medicaid Services?
The Clemente Wilson was issued its 1467403956 by the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the information regarding Clemente Wilson most recently updated?
The details pertaining to the Clemente Wilson, including its address, specialty, and other relevant information, were last refreshed on 2017-11-27.
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