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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TARA D WILSON, MD

Active

DR. TARA D WILSON, MD is a Family Medicine healthcare provider located in DAYTONA BEACH, Florida. NPI 1194899740 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · DAYTONA BEACH, FL

Registration Details

NPI Number
1194899740
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2006 (19.760643531172 yrs)
Last Updated
Jun 13, 2016
Licenses
ME81444 (FL)
ME081444 (FL)

Practice Information

Address
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL, 321142709
Browse FL providers · Browse ZIP 32114
Phone
3862542285
Fax
3864251304
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Emergency Medicine

Other Family Medicine Providers in DAYTONA BEACH, FL

Name Credential NPI
DR. KIRAN PATEL MD 1255334959
LANE E JENNINGS M.D. 1346247053
ROXY MARRESE JR. M.D. 1629076039
RYAN R REES M.D. 1558361428
DR. APRIL M FERGUSON D.O. 1548254865
DR. WILLIAM ANDREW REESE MD 1720073547
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.