Individual
RYLEY SCOTT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
255 N LAKEMONT AVE STE 207, WINTER PARK, FL 32792-3219
(844) 407-4070
(407) 743-3050
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL2688
FL
363A00000X
Physician Assistant
PAT9108971
FL
363AM0700X
Medical Physician Assistant
Primary
PA9108971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015658500
—
FL
01
—
PA9108971
MEDICAL LICENSE
FL
Enumeration date
07/17/2015
Last updated
04/14/2022
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