Provider Demographics
NPI:1447649611
Name:MCWILLIAMS, CAMERAN ELISE
Entity type:Individual
Prefix:MRS
First Name:CAMERAN
Middle Name:ELISE
Last Name:MCWILLIAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CAMERAN
Other - Middle Name:ELISE
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:660 SPANISH WELLS RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-8926
Mailing Address - Country:US
Mailing Address - Phone:904-502-8502
Mailing Address - Fax:
Practice Address - Street 1:2103 GILMORE ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3211
Practice Address - Country:US
Practice Address - Phone:904-906-3878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT17548225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist