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Search › Florida › 104100000X

Marietta Wilson

NPI 1245966456 · on the registry since 2022 · sole proprietor

Practice

Address
5768 S Semoran Blvd
Orlando, FL 32822
Phone
(321) 397-3000
Fax
(321) 397-3024
Organisation at this address
Children'S Home Society
Children'S Home Society Of Florida
Inferred from a shared address, not stated in the registry.
Clinicians at this address
106

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YM0800X
Sex
Female
Record last updated
2025-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida