Individual
SIDNEY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5017 OAK AVENUE, YOUNGSTOWN, FL 32466
(772) 675-9100
Mailing address
5017 OAK AVE, YOUNGSTOWN, FL 32466-2024
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
17-35722
FL
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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