Individual
MR. DEREK WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
506 SW DEXTER CIR, APT 202, LAKE CITY, FL 32025-5675
(386) 292-9195
Mailing address
506 SW DEXTER CIRCLE, APT 202, LAKE, FL 32025
(386) 292-9195
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5210449
FL
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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