Provider Demographics
NPI:1225672215
Name:WILLIAMS, RUTH C
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8324 PADDLEWHEEL ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-6543
Mailing Address - Country:US
Mailing Address - Phone:340-277-2802
Mailing Address - Fax:
Practice Address - Street 1:8324 PADDLEWHEEL ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-6543
Practice Address - Country:US
Practice Address - Phone:340-626-2290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion