Dr. Shacara Wilson M.D.
Family Medicine Physician in St Petersburg, FL(View on Map)
Full Name
Dr. Shacara Wilson M.D.
NPI Number
1194014621
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/05/2011
Specialties
(Taxonomies)Licenses
State
Florida
Florida
License Number
ME113623
TR15398
Contact
Information
Purpose
Mailing
Location
Address
701 6TH ST S
701 6TH ST S
City
St Petersburg
St Petersburg
State
FL
FL
Postal Code
33701-4814
33701-4814
Country
US
US
Telephone Number
(727) 893-6116
(727) 893-6116
Identifiers
Identifier
105519500
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/30/2020