Provider Demographics
NPI:1134771025
Name:WILLIAMS, STEVEN L (APRN)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 MAITLAND AVE
Mailing Address - Street 2:STE 1000
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4908
Mailing Address - Country:US
Mailing Address - Phone:407-332-6366
Mailing Address - Fax:407-830-4300
Practice Address - Street 1:575 HEATHER BRITE CIR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-4036
Practice Address - Country:US
Practice Address - Phone:407-712-3843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11003193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily