Organization Active NPI

Maria Carmen Wilson, P.a

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Tampa, FL
National Provider Identifier
1346519923
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
MARIA CARMEN WILSON, P.A
Practice address
14499 N Dale Mabry Hwy
Suite 162
Tampa, FL 33618-2078
Phone
(813) 961-0689
Fax
(813) 265-0877
NPI assigned
Dec 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maria Carmen Wilson, M.D
Title
President
Phone
(813) 728-7803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X Primary

Addresses

Primary practice location

14499 N Dale Mabry Hwy
Suite 162
Tampa, FL 33618-2078

Mailing address

14499 N Dale Mabry Hwy
Suite 162
Tampa, FL 33618-2078
Phone (813) 961-0689

National Provider Directory

National Provider Directory

Locations

14499 N Dale Mabry Hwy
Ste 162
Tampa, FL 33618
Phone (813) 961-0689

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1346519923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14499 N DALE MABRY HWY",
            "address_2": "SUITE 162",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182078",
            "telephone_number": "813-961-0689",
            "fax_number": "813-265-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14499 N DALE MABRY HWY",
            "address_2": "SUITE 162",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182078",
            "telephone_number": "813-961-0689",
            "fax_number": "813-265-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA CARMEN WILSON, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-728-7803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.