Organization
WELLSPRING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE RANDALL WILLIAMS MD (OWNER)
(352) 377-8770
Entity
Organization
Contact information
Practice address
5618 NW 43RD STREET, GAINESVILLE, FL 32653
(352) 377-8770
(352) 371-3623
Mailing address
5618 NW 43RD STREET, GAINESVILLE, FL 32653
(352) 377-8770
(352) 371-3623
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
ME0037298
FL
Other
Enumeration date
11/12/2014
Last updated
11/14/2014
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