Individual provider · Type 1 NPI
Brooke Wilson
Mastectomy Fitter · Haines City, FL
NPI number
1508330481
Active
Practice location
1920 Verano Dr Ste 105
Haines City, FL 33844-8585
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
3 other providers at this address
About NPI 1508330481
Brooke Wilson's National Provider Identifier is 1508330481, issued on Jan 14, 2019. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Haines City, FL. The record was last updated on Nov 4, 2025.