# FAMILY MEDICINE AT NONA, LLC

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

## Provider details

- **NPI number:** 1972054732
- **Authorized official:** MICHAEL WILLIAMS DO (OWNER)
- **Authorized official phone:** (321) 250-7752

## Contact information

- **Practice address:** 10920 MOSS PARK RD, SUITE 204, ORLANDO, FL 32832-6086
- **Practice address phone:** (321) 250-7752
- **Practice address fax:** (321) 732-8440
- **Mailing address:** 2106 N ORANGE AVE, SUITE 100, ORLANDO, FL 32804-5509
- **Mailing address phone:** (407) 459-1181
- **Mailing address fax:** (321) 732-8440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 04/18/2017