Healthcare Provider Details

I. General information

NPI: 1538610001
Provider Name (Legal Business Name): ROBERT PRESLEY WILLIAMS JR. ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2016
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 POPE AVE NW STE 300
WINTER HAVEN FL
33881-4679
US

IV. Provider business mailing address

PO BOX 100181
COLUMBIA SC
29202-3141
US

V. Phone/Fax

Practice location:
  • Phone: 863-299-2636
  • Fax:
Mailing address:
  • Phone: 828-202-5200
  • Fax: 828-479-2917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number9180843
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5023251
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: