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Organization

KINGDOM CHIROPRACTIC

Active
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Organization

KINGDOM CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FREDRICK WILLIAMS DC (CHIROPRACTOR)
(813) 434-1045
Entity
Organization

Contact information

Practice address
1484 GULF TO BAY BLVD, CLEARWATER, FL 33755-5358
(813) 434-1045
Mailing address
1484 GULF TO BAY BLVD, CLEARWATER, FL 33755-5358
(813) 434-1045

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH11209
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1962801613
NPI
01
4614444750
EIN
FL
Enumeration date
05/15/2017
Last updated
05/15/2017
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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