Individual
JULIAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7234 KEIBER CIR, YOUNGSTOWN, FL 32466-3307
(850) 630-2189
Mailing address
7234 KEIBER CIR, YOUNGSTOWN, FL 32466-3307
(850) 630-2189
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02030278Z
—
FL
Enumeration date
06/01/2018
Last updated
06/01/2018
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