Individual
MCKEVIN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3260 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6203
(321) 255-2260
Mailing address
710 GLENDALE AVE NW, PALM BAY, FL 32907-7039
(321) 266-8939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10059
FL
Other
Enumeration date
07/30/2017
Last updated
07/30/2017
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