Provider Demographics
NPI:1790003770
Name:WILLIAMS, FLORENCE M
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:M
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 1:9123 N MILITARY TRL
Mailing Address - Street 2:STE 216
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5990
Mailing Address - Country:US
Mailing Address - Phone:561-598-1120
Mailing Address - Fax:561-622-8296
Practice Address - Street 1:9123 N MILITARY TRL
Practice Address - Street 2:STE 216
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-5990
Practice Address - Country:US
Practice Address - Phone:561-598-1120
Practice Address - Fax:561-622-8296
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies