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Mr. Matthew J Wilson, LMT
Other Technician in Fort Walton Beach, Florida
NPI 1184892531

Matthew J Wilson is a Other Technician based in Fort Walton Beach, FL. Matthew J Wilson practices in Fort Walton Beach, FL and has the professional credentials of LMT. The NPI Number for Matthew J Wilson is 1184892531 and holds a License No. MA33164 (Florida).

The current practice location address for Matthew J Wilson is 119 Beal Pkwy Se, Fort Walton Beach, FL and can be reached out via phone at 850-598-3633.

Location: 119 Beal Pkwy Se, Fort Walton Beach, FL, 32548-5386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184892531
Provider Name
Matthew J Wilson
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
119 Beal Pkwy Se, Fort Walton Beach, FL, 32548-5386
Phone Number
850-598-3633
Fax Number
Provider Enumeration Date
02/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C2463 01 FL BLUE CROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
119 Beal Pkwy Se
City
Fort Walton Beach
State
Florida
Zip
32548-5386
Phone Number
850-598-3633
Fax Number
person
Provider Business Mailing Address Details
Address
119 Beal Pkwy Se
City
Fort Walton Beach
State
Florida
Zip
32548-5386
Phone Number
850-598-3633
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
MA33164 (Florida)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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