Healthcare Provider Details

I. General information

NPI: 1750204608
Provider Name (Legal Business Name): ANNIE LORNA WILLIAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2921 NW 68TH LN
MARGATE FL
33063-2060
US

IV. Provider business mailing address

2921 NW 68TH LN
MARGATE FL
33063-2060
US

V. Phone/Fax

Practice location:
  • Phone: 954-309-1509
  • Fax:
Mailing address:
  • Phone: 954-309-1509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11048697
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: