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

MR. LARRY TODD WILSON, PA-C

Active

MR. LARRY TODD WILSON, PA-C is a Physician Assistant healthcare provider located in MAITLAND, Florida. NPI 1245297340 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MAITLAND, FL

Registration Details

NPI Number
1245297340
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2006 (20.286491859468 yrs)
Last Updated
Oct 11, 2023
License
PA-9110091 (FL)

Practice Information

Address
2600 WESTHALL LN
MAITLAND, FL, 327517102
Browse FL providers · Browse ZIP 32751
Phone
4072002300
Fax
4073030580
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MAITLAND, FL

Name Credential NPI
LAURIE FASHAKIN PA 1275588063
REELI REINU PA 1609884253
MRS. TIA MARIE SOLH PA 1609077965
ANNA V MUSSONE PA 1528314812
NICOLE DENISE CONRAD PA-C 1942677612
AMANDA IRENE MAIN PA-C 1144699653
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.