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Individual

RACINE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN

Contact information

Practice address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6628
(954) 397-5012
Mailing address
4551 TARA COVE WAY, WEST PALM BEACH, FL 33417-3004

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9491826
FL
363LS0200X
School Nurse Practitioner
RN9491826
FL

Other

Enumeration date
09/26/2016
Last updated
03/02/2023
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