Individual
MS. ANGELIQUE NICOLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
655 W 8TH ST, UFJP EIP PEDIATRICS, JACKSONVILLE, FL 32209-6511
(904) 244-7262
(904) 798-4546
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000895903A
—
GA
05
—
000895903B
—
GA
05
—
6001505-00
—
FL
Enumeration date
03/23/2006
Last updated
12/07/2011
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