Individual
MAVIS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 NEPTUNE ST, MIRAMAR, FL 33023-3647
(954) 632-3815
Mailing address
7320 NEPTUNE ST, MIRAMAR, FL 33023-3647
(954) 632-3815
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141345700
—
FL
Enumeration date
11/24/2021
Last updated
01/13/2022
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