| Mr Larry Todd Wilson, PA-C | |
|
2600 Westhall Ln, Maitland, FL 32751-7102 | |
| (407) 200-2300 | |
| (407) 303-0580 |
| Full Name | Mr Larry Todd Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2600 Westhall Ln, Maitland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245297340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-9110091 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Todd Wilson, PA-C 2600 Westhall Ln, Maitland, FL 32751-7102 Ph: (407) 200-2300 | Mr Larry Todd Wilson, PA-C 2600 Westhall Ln, Maitland, FL 32751-7102 Ph: (407) 200-2300 |
Alora Oliver, Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Winderley Pl, Suite 115, Maitland, FL 32751 Phone: 407-875-0555 | |
Ms. Meghan Elizabeth Muccigrosso, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 260 Lookout Pl, Suite 103, Maitland, FL 32751 Phone: 321-594-5523 Fax: 407-333-2140 | |
Amanda Irene Main, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-875-0555 | |
Nicole A Campos, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Winderley Pl, Suite 115, Maitland, FL 32751 Phone: 407-875-0555 | |
Valentina Gonzalez Moncada, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Winderley Pl, Maitland, FL 32751 Phone: 407-875-0555 | |
Marc Amos Thernelus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 Westhall Ln, Maitland, FL 32751 Phone: 407-200-2273 |