Healthcare Provider Details

I. General information

NPI: 1124701727
Provider Name (Legal Business Name): HANDS-ON ORTHOPEDICS AND INJURY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 DAVENPORT DR
TRINITY FL
34655-4231
US

IV. Provider business mailing address

1661 DAVENPORT DR
TRINITY FL
34655-4231
US

V. Phone/Fax

Practice location:
  • Phone: 813-945-2663
  • Fax: 727-645-0915
Mailing address:
  • Phone: 813-945-2663
  • Fax: 727-645-0915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD BRIAN WILLIAMS
Title or Position: OWNER/PHYSICIAN
Credential: DO
Phone: 813-945-2663