Individual
OCTAVIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18901 NW 17TH CT, MIAMI GARDENS, FL 33056-3328
(305) 502-6371
Mailing address
18901 NW 17TH CT, MIAMI GARDENS, FL 33056-3328
(305) 502-6371
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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