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NPI Code Detail

MEDICARE: MR. TORRANCE W WILLIAMS ATHLETIC TRAINER

MEDICARE:  MR. TORRANCE W WILLIAMS  ATHLETIC TRAINER
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
12255A2300XAthletic Trainer1216FL

General Provider Information

NPI Number : 1699732776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TORRANCE W WILLIAMS ATHLETIC TRAINER
Provider Business Mailing Address
First Line : 1751 LOCHSHYRE LOOP
Second Line :
City : OCOEE
State : FL
Zip : 34761-9192
Country : US
Telephone Number : 407-927-7411
Fax Number :
Provider Business Practice Location Address
First Line : 6500 TURKEY LAKE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32819-4718
Country : US
Telephone Number : 407-355-3200
Fax Number : 407-370-7232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 07/08/2007

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Directions to “ MR. TORRANCE W WILLIAMS ATHLETIC TRAINER” Practice Location

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