MEDICARE: DAMESHA LONDRELL DEMARA 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
1	376K00000X	Nurse's Aide	CNA236652	FL

General Provider Information

NPI Number	:	1952233447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMESHA LONDRELL DEMARA WILLIAMS

Provider Business Mailing Address
First Line	:	610 SEARS AVE NE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-1746
Country	:	US
Telephone Number	:	863-419-6008
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 SEARS AVE NE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-1746
Country	:	US
Telephone Number	:	863-419-6008
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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