Individual provider · Type 1 NPI

Gloria Wilson

General Practice Physician · Jacksonville, FL

NPI number 1619647070 Active

Practice location

6943 Lucky Dr E
Jacksonville, FL 32208-4187

Call (904) 428-2930 Map

Fax (904) 586-2044

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNA (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1619647070

Gloria Wilson's National Provider Identifier is 1619647070, issued on Sep 16, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 16, 2021.