Provider Demographics
NPI:1033409206
Name:WILLIAMS, CLIFFANY N (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CLIFFANY
Middle Name:N
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:CLIFFANY
Other - Middle Name:N
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17928 BAHAMA ISLE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2776
Mailing Address - Country:US
Mailing Address - Phone:813-760-4960
Mailing Address - Fax:
Practice Address - Street 1:900 COCOANUT AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4027
Practice Address - Country:US
Practice Address - Phone:813-760-4960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSI221491835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist