Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Wilson, MD

Individual provider Emergency Medicine Physician · NPI 1720280688

Holly Wilson, MD is an Emergency Medicine in Sunrise, Florida. Qualified in 2003, 23 years ago. Practices with Phoenix Emergency Medicine of Broward LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1613 NW 136th Ave Ste 200
Sunrise, FL 33323-2896
Phone: (800) 437-2672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME98782 (FL)

Record details

NPI number1720280688
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2007
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address1613 Nw 136th Ave, Ste 200, Sunrise, FL 33323-2896

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Phoenix Emergency Medicine Of Broward Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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