Individual
MS. BONITA S WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
430 PINELLAS ST STE 400, CLEARWATER, FL 33756-3365
(727) 461-8300
(813) 635-2187
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00726956
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
09/03/2008
Last updated
01/22/2021
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