Individual
PHOEBE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4006 E REGNAS AVE, TAMPA, FL 33617-6830
(813) 751-6817
(813) 899-0420
Mailing address
4006 E REGNAS AVE, TAMPA, FL 33617-6830
(813) 751-6817
(813) 899-0420
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141498400
—
FL
Enumeration date
07/03/2014
Last updated
07/03/2014
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