Healthcare Provider Details

I. General information

NPI: 1326962234
Provider Name (Legal Business Name): CARLA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 E 10TH AVE
TAMPA FL
33605-4101
US

IV. Provider business mailing address

2607 E 10TH AVE
TAMPA FL
33605-4101
US

V. Phone/Fax

Practice location:
  • Phone: 813-802-1370
  • Fax:
Mailing address:
  • Phone: 813-802-1370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: