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Individual

MS. ANTOINETTE CECILE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3752 BRIAR LN, ORANGE PARK, FL 32065-2517
(805) 369-4935
Mailing address
3752 BRIAR LN, ORANGE PARK, FL 32065-2517
(805) 369-4935

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W452003637410
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6389
FL
Enumeration date
05/03/2011
Last updated
03/29/2016
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