Individual
DEANTHONY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 LAKELAND HILLS BLVD UNIT 90691, LAKELAND, FL 33804-7029
(863) 209-4235
Mailing address
2800 LAKELAND HILLS BLVD UNIT 90691, LAKELAND, FL 33804-7029
(863) 209-4235
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W452164764570
FL
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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