Courtney Nichole Wilkes
Specialist in Orlando, FL. Individual provider (NPI-1).
NPI number1487843371
StatusActive
Last updated in NPPESOct 17, 2007
Details
- NPI
- 1487843371
- Entity type
- Individual (NPI-1)
- Name
- Ms. Courtney Nichole Wilkes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2007
- Last updated
- Oct 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1439 Weston Woods BlvdOrlando, FL 32818-5756
Phone 407-758-0144
Mailing address
1439 Weston Woods BlvdOrlando, FL 32818-5756
Phone 407-758-0144
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