Individual
KYLE DAVID WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10969 SE 175TH PL, SUMMERFIELD, FL 34491-0902
(352) 347-8877
(352) 347-9477
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-1141
(352) 382-1146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22845
FL
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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