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NPI Code Detail

MEDICARE: ELLEN WILLIAMSON NP

MEDICARE:   ELLEN  WILLIAMSON  NP
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
1363L00000XNurse PractitionerARNP 1010622FL
2363LF0000XFamily Nurse PractitionerARNP1010622FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679527220
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN WILLIAMSON NP
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 400
Second Line :
City : MIAMI
State : FL
Zip : 33126-2051
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 6766 FOREST HILL BLVD
Second Line :
City : GREENACRES
State : FL
Zip : 33413-3321
Country : US
Telephone Number : 561-966-0015
Fax Number : 561-966-3911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 03/02/2022

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