NPI | 1831820901 |
---|---|
Former Legal Business Name | WILLIAMS QUALITY HEALTHCARE TEAM |
Entity Type | Organization |
Authorized Contact | MONICA WILLIAMS Register Agent 863-777-3186 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-06-21 |
Last Update Date | 2024-08-09 |