Individual
SONYA C WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N FREMONT AVE, TAMPA, FL 33606-1236
(813) 254-7083
Mailing address
501 N FREMONT AVE, TAMPA, FL 33606-1236
(813) 254-7083
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142023200
—
FL
Enumeration date
08/15/2013
Last updated
08/15/2013
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