Dr. Regina Wilson, MD
Student in an Organized Health Care Education/Training Program in Wellington, FL. Individual provider (NPI-1).
NPI number1043051618
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1043051618
- Entity type
- Individual (NPI-1)
- Name
- Dr. Regina Wilson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2024
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
10101 Forest Hill BlvdWellington, FL 33414-6103
Phone 561-798-8500
Mailing address
9576 Marsh Wren Ct Apt 104Lake Worth, FL 33467-5273
Phone 914-382-8126
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All 36 Student in an Organized Health Care Education/Training Program providers in Wellington · All 2,194 providers in Wellington
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