Provider Demographics
NPI:1851591960
Name:WILLIAMS, ADRIAN MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:MICHAEL
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 138391
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34713-8391
Mailing Address - Country:US
Mailing Address - Phone:352-536-1300
Mailing Address - Fax:352-536-1305
Practice Address - Street 1:628 CAGAN VIEW RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-6566
Practice Address - Country:US
Practice Address - Phone:352-536-1300
Practice Address - Fax:352-536-1305
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9384111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor