Active NPI
Latresia a. Wilson, MD, PA, Inc
- Emergency Medicine Physician
- Ocala, FL
National Provider Identifier
1073247847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- LATRESIA A. WILSON, MD, PA, INC
- Practice address
- 3330 NW 2ND Ave
Ocala, FL 34475-2652 - Phone
- (478) 475-1299
- NPI assigned
- Jul 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latresia Wilson, MD
- Title
- Owner
- Phone
- (478) 475-1299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
3330 NW 2ND Ave
Ocala, FL 34475-2652
Mailing address
PO Box 26040
Macon, GA 31221-6040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657843200000",
"number": "1073247847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26040",
"city": "MACON",
"state": "GA",
"postal_code": "312216040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 NW 2ND AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344752652",
"telephone_number": "478-475-1299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATRESIA A. WILSON, MD, PA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-15",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "LATRESIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-475-1299",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.