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

Mr. Larry Todd Wilson, PA-C

Individual provider Physician Assistant · NPI 1245297340

Mr. Larry Todd Wilson, PA-C is a Physician Assistant in Maitland, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2600 Westhall Ln
Maitland, FL 32751-7102
Phone: (407) 200-2300
Fax: (407) 303-0580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-9110091 (FL)

Record details

NPI number1245297340
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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