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NPI Code Detail

MEDICARE: GERDA M WILLIAMS NP

MEDICARE: GERDA M WILLIAMS NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN2640932FL

General Provider Information

NPI Number : 1750397907
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERDA M WILLIAMS NP
Provider Business Mailing Address
First Line : 6151 MIRAMAR PKWY STE 307
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-3985
Country : US
Telephone Number : 954-966-6467
Fax Number : 954-272-8437
Provider Business Practice Location Address
First Line : 15055 NW 27TH AVE
Second Line :
City : OPA LOCKA
State : FL
Zip : 33054-3365
Country : US
Telephone Number : 786-466-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 09/05/2025

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