Elicia D King-Wilson | Winter Park, FL • PECOS Search

Elicia D King-Wilson

Pharmacist

Pharmacy Service Providers

1920 Aloma Ave, Winter Park, FL 32792-3207

PECOS Enrollment

Based on the most recent information from CMS, provider Elicia D King-Wilson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1407139520
Provider Type
Individual
Full Name
King-Wilson, Elicia D
Title
Dr.
Credential
PHARMD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/25/2011
Last Updated
9/25/2011

Contact Information

Practice Location

1920 Aloma Ave, Winter Park, FL 32792-3207

(407) 628-8842

Mailing Location

1920 Aloma Ave, Winter Park, FL 32792-3207

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License PS 40267 Florida