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NPI Code Detail

MEDICARE: SUZANNE MICHELE WILLIAMS R.N.

MEDICARE:   SUZANNE MICHELE WILLIAMS  R.N.
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
1163W00000XRegistered Nurse9230496FL

General Provider Information

NPI Number : 1114072824
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE MICHELE WILLIAMS R.N.
Provider Business Mailing Address
First Line : 10711 MCINTOSH RD
Second Line :
City : THONOTOSASSA
State : FL
Zip : 33592-3946
Country : US
Telephone Number : 813-986-6496
Fax Number :
Provider Business Practice Location Address
First Line : 4100 W KENNEDY BLVD
Second Line : 114
City : TAMPA
State : FL
Zip : 33609-2288
Country : US
Telephone Number : 813-639-1915
Fax Number : 813-514-4715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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Directions to “ SUZANNE MICHELE WILLIAMS R.N.” Practice Location

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