NPI 1285216333

Levar Antone Wilson, MEDICALSUPPLY

Practitioner Driver Ocala, FL

Practice location

Address: 4134 SW 51st Ter, Ocala, FL 34474-9699
Phone: (352) 207-3144

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1285216333
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2021
Record last updated: 27 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.