Organization
PLANT CITY PEDIATRICS, PA
Active
Other names
Timothy Williams Pediatrics of Brandon
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY C KIFER (PRACTICE ADMINISTRATOR)
(813) 659-9800
Entity
Organization
Contact information
Practice address
2370 WALDEN WOODS DR, SUITE A, PLANT CITY, FL 33563-7027
(813) 659-9800
(813) 659-9807
Mailing address
2370 WALDEN WOODS DR, SUITE A, PLANT CITY, FL 33563-7027
(813) 659-9800
(813) 659-9807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS7802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154340115
NPI
FL
01
—
1215909262
NPI
FL
05
—
1275706160
—
FL
05
—
1376609891
—
FL
01
—
1609809987
NPI
FL
01
—
1649248956
PLANT CITY PEDIATRICS
FL
05
—
1821065061
—
FL
05
—
1851713952
—
FL
Enumeration date
12/29/2006
Last updated
10/15/2015
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