PANCHETA B WILSON


Address: 1505 University Dr, Suite 402, Coral Springs, FL 33071
Phone: 9543442793

PANCHETA B WILSON (NPI# 1326025123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326025123
Entity Type Individual
Full Name PANCHETA B WILSON
Credential M.D.
Practice Address 1505 University Dr
Suite 402
Coral Springs
FL 33071
Mailing Address 7798 Nw 55th Pl
Coral Springs
FL 33067-2058
Practice Telephone 9543442793
Mailing Telephone 9543442793
Enumeration Date 2005-12-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 173000000X Legal Medicine ME0045995 FL Other Service Providers

Office Location

Street Address 1505 UNIVERSITY DR
SUITE 402
City CORAL SPRINGS
State FL
Zip Code 33071

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1578112991 Dr G's Pharmacy, Inc Pharmacy 2224 N. University Drive, Coral Springs, FL 33071 2019-09-09
1366935447 Nonye Gali Occupational Therapy Assistant 9017 Nw 19th St, Coral Springs, FL 33071 2018-06-12
1255855151 Elisabet Stumper Speech-Language Pathologist 1313 Nw 100th Drive, Coral Springs, FL 33071 2017-08-01
1578093175 Make It Happen Nursing, LLC Nursing Care 8835 Nw 3rd Court, Coral Springs, FL 33071 2017-06-15
1023547304 Steven Quanhien Thach Physical Therapist 2043 N University Dr., Coral Springs, FL 33071 2017-06-08
1083063945 Health Care Clinic At Walgreens Clinic/Center 1724 Nw 126th Dr, Coral Springs, FL 33071 2016-06-10
1902285703 J&j Comprehensive Medical Care LLC Internal Medicine 1505 N. University Drive, Suite 400, Coral Springs, FL 33071 2015-05-26
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Taxonomy Information

Taxonomy Code 173000000X
Grouping Other Service Providers
Classification Legal Medicine

Taxonomy Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679074561 Joy Harris Legal Medicine 1950 Se Port St Lucie Blvd Ste 217, Port St Lucie, FL 34952-5579 2018-02-26
1386016137 International Spine Center Legal Medicine 1310 Gulf Blvd Apt 2g, Clearwater, FL 33767-2859 2015-10-20
1639579923 Duclos Dessalines Legal Medicine 4519 Lake Worth Rd, Greenacres, FL 33463-3449 2014-08-25
1679908867 New Smyrna Pain & Injury Clinic Legal Medicine 421 N Causeway, New Smyrna Beach, FL 32169-5266 2013-09-06
1568710853 Fmb Medical LLC Legal Medicine 7205 Estero Blvd Ste 733, Fort Myers Beach, FL 33931-4779 2012-08-17
1699047159 Lazaro A Cabrera Legal Medicine 5575 Sw 77th Ct Apt 204b, Miami, FL 33155-4318 2012-01-30
1891074084 Wellmed Medical Center Legal Medicine 9621 Bird Rd, Miami, FL 33165-4030 2011-08-05
1528377603 William M. Escoffery Legal Medicine 300 Harbor Blvd Ste C, N/a, Destin, FL 32541-2370 2010-10-06
1538478086 Nob Hill Medical Center, Inc. Legal Medicine 10098 W Mcnab Rd, Tamarac, FL 33321-1895 2010-10-01
1780992644 Daniel Hunt II Legal Medicine 2160 Anchor Ave, Deland, FL 32720-2382 2010-09-14
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Competitor

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City CORAL SPRINGS
Zip Code 33071

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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