Provider Demographics
NPI:1225328263
Name:WILSON, NOEMI NAYIR (AP)
Entity Type:Individual
Prefix:MRS
First Name:NOEMI
Middle Name:NAYIR
Last Name:WILSON
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7800 RED RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5528
Mailing Address - Country:US
Mailing Address - Phone:305-299-4019
Mailing Address - Fax:305-662-2343
Practice Address - Street 1:7800 RED RD
Practice Address - Street 2:SUITE 108
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5528
Practice Address - Country:US
Practice Address - Phone:305-299-4019
Practice Address - Fax:305-662-2343
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAP2854171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist