MEDICARE: DOLORES WILSON LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker	MA8404	FL

General Provider Information

NPI Number	:	1700335403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOLORES WILSON LMT

Provider Business Mailing Address
First Line	:	1613 E SITKA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-3466
Country	:	US
Telephone Number	:	813-884-5366
Fax Number	:

Provider Business Practice Location Address
First Line	:	3418 HANDY RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-4603
Country	:	US
Telephone Number	:	813-884-5366
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2016
Last Update Date	:	09/23/2016

Similar Medicare Providers

1912170879 — EXCELLENCE IN HOME CARE, INC.
Practice Location Address:

3418 HANDY RD STE 104
TAMPA, FL
33618-4603

Practice Phone: 813-264-6500
Practice Fax: 813-264-6543

1821302613 — EXCEL DURABLE MEDICAL EQUIPMENT, LLC
Practice Location Address:

3418 HANDY RD , SUITE 104
TAMPA, FL
33618-4603

Practice Phone: 813-443-0638
Practice Fax: 813-443-0639

1982067856 — MS. SUSAN MEYER LMT
Practice Location Address:

3418 HANDY RD , SUITE 201
TAMPA, FL
33618-4603

Practice Phone: 813-239-4120
Practice Fax:

1386214682 — H-EZ BEHAVIOR INC
Practice Location Address:

3418 HANDY RD STE 102
TAMPA, FL
33618-4603

Practice Phone: 813-416-9745
Practice Fax:

1962498923 — DR. CARYN L BRAY MD
Practice Location Address:

3450 E FLETCHER AVE STE 110
TAMPA, FL
33613-4603

Practice Phone: 813-972-4488
Practice Fax: 813-972-3996

1407842461 — DR. AMY L SOLOMON MD
Practice Location Address:

3450 E FLETCHER AVE STE 110
TAMPA, FL
33613-4603

Practice Phone: 813-972-4488
Practice Fax: 813-972-3996

Directions to “ DOLORES WILSON LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.