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Individual

WILLIAM D. POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA CASE MANAGER

Contact information

Practice address
901 DOUGLAS AVE STE 205, ALTAMONTE SPRINGS, FL 32714-2057
(407) 703-5959
(407) 814-3863
Mailing address
901 DOUGLAS AVE STE 205, ALTAMONTE SPRINGS, FL 32714-2057
(407) 703-5959
(407) 814-3863

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003564600
FL
Enumeration date
07/09/2012
Last updated
07/09/2012
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