Organization
MOS LLC
Active
Organization
MOS LLC
Active
Other names
Down Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY WILLIAMS ARNP (OWNER)
(850) 973-4590
Entity
Organization
Contact information
Practice address
256 SW WASHINGTON AVE, MADISON, FL 32340
(850) 973-4590
(850) 973-4929
Mailing address
PO BOX 902, MADISON, FL 32341
(850) 973-4590
(850) 973-4929
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1396122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y1305
BCBS
FL
Enumeration date
12/15/2005
Last updated
07/31/2013
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