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NPI Code Detail

MEDICARE: JULIET WILLIAMS

MEDICARE: JULIET WILLIAMS
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
1363LW0102XWomen's Health Nurse Practitioner11007980FL

General Provider Information

NPI Number : 1568074573
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIET WILLIAMS
Provider Business Mailing Address
First Line : 1019 BRADFORD DR
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-6101
Country : US
Telephone Number : 321-388-6958
Fax Number :
Provider Business Practice Location Address
First Line : 101 S WESTMORELAND DR
Second Line :
City : ORLANDO
State : FL
Zip : 32805-2258
Country : US
Telephone Number : 407-876-6699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2020
Last Update Date : 08/20/2020

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