Individual
SAMANTHA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
336 LONGFELLOW BLVD, LAKELAND, FL 33801-2423
(727) 639-2497
Mailing address
336 LONGFELLOW BLVD, LAKELAND, FL 33801-2423
(727) 639-2497
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5195491
FL
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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