MEDICARE: TANYA WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1184405375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA WILLIAMS

Provider Business Mailing Address
First Line	:	2522 OYSTER CATCHER CT APT 301
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-4355
Country	:	US
Telephone Number	:	954-699-5870
Fax Number	:

Provider Business Practice Location Address
First Line	:	2522 OYSTER CATCHER CT APT 301
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-4355
Country	:	US
Telephone Number	:	954-699-5870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	10/12/2023

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Directions to “ TANYA WILLIAMS ” Practice Location

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