# KINGDOM MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194548511
- **Authorized official:** DR. FREDRICK WILLIAMS JR. DC (CLINIC DIRECTOR)
- **Authorized official phone:** (813) 495-0677

## Contact information

- **Practice address:** 501 S FALKENBURG RD, TAMPA, FL 33619-8055
- **Practice address phone:** (813) 434-1045
- **Practice address fax:** (813) 434-1259
- **Mailing address:** PO BOX 153072, TAMPA, FL 33684-3072
- **Mailing address phone:** (813) 434-1045
- **Mailing address fax:** (813) 434-1259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2024
- **Last updated:** 11/25/2025