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NPI Code Detail

MEDICARE: MR. DURAN WILLIAMS MS, ISW

MEDICARE:  MR. DURAN  WILLIAMS  MS, ISW
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
11041C0700XClinical Social WorkerISW6155FL

General Provider Information

NPI Number : 1447550173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DURAN WILLIAMS MS, ISW
Provider Business Mailing Address
First Line : 3191 CLAY MANGUM LN
Second Line :
City : TAMPA
State : FL
Zip : 33618-2501
Country : US
Telephone Number : 813-264-3807
Fax Number : 813-264-3874
Provider Business Practice Location Address
First Line : 3191 CLAY MANGUM LN
Second Line :
City : TAMPA
State : FL
Zip : 33618-2501
Country : US
Telephone Number : 813-264-3807
Fax Number : 813-264-3874
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2010
Last Update Date : 10/27/2016

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Directions to “ MR. DURAN WILLIAMS MS, ISW” Practice Location

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