Jack J Wilson MD PA
Jack J Wilson MD PA is an Obstetrics & Gynecology Physician in Winter Park, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2025 Summerland AveWinter Park, FL 32789-1453
Phone: (407) 628-0853
Fax: (407) 628-0853
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence ME 0058840 (FL) |
|---|
Record details
| NPI number | 1083644025 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Wilson — Pres · (407) 628-0853 |
| NPI enumerated | July 4, 2006 |
| Last updated in NPPES | June 7, 2010 |
| Mailing address | 2025 Summerland Ave, Winter Park, FL 32789-1453 |
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