Provider Demographics
NPI:1922602515
Name:FLOWERS, WILEHELMINE M
Entity Type:Individual
Prefix:
First Name:WILEHELMINE
Middle Name:M
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 MAGNOLIA BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759-5592
Mailing Address - Country:US
Mailing Address - Phone:727-275-3842
Mailing Address - Fax:
Practice Address - Street 1:58 MAGNOLIA BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:POINCIANA
Practice Address - State:FL
Practice Address - Zip Code:34759-5592
Practice Address - Country:US
Practice Address - Phone:727-275-3842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL20000345812253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No253Z00000XAgenciesIn Home Supportive Care