MEDICARE: WILLIAM ATKINSON

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	183500000X	Pharmacist	PS8791	FL

General Provider Information

NPI Number	:	1316603061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ATKINSON

Provider Business Mailing Address
First Line	:	2752 ENTERPRISE RD STE B
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8328
Country	:	US
Telephone Number	:	732-912-8122
Fax Number	:

Provider Business Practice Location Address
First Line	:	2752 ENTERPRISE RD STE B
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8328
Country	:	US
Telephone Number	:	732-912-8122
Fax Number	:

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

Provider Enumeration Date	:	11/16/2021
Last Update Date	:	11/16/2021

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Directions to “ WILLIAM ATKINSON ” Practice Location

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