MEDICARE: LOTOYA QUENNA WILLIAMS RN, NP-C

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
1	363LF0000X	Family Nurse Practitioner	ARNP9263903	FL

General Provider Information

NPI Number	:	1164886594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOTOYA QUENNA WILLIAMS RN, NP-C

Provider Business Mailing Address
First Line	:	3110 AMALFI DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32820-1438
Country	:	US
Telephone Number	:	407-353-8393
Fax Number	:

Provider Business Practice Location Address
First Line	:	1706 N SEMORAN BLVD
Second Line	:	SUITE 100
City	:	ORLANDO
State	:	FL
Zip	:	32807-3565
Country	:	US
Telephone Number	:	407-353-8393
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2016
Last Update Date	:	04/12/2016

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