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Individual

MRS. ERIN MIKAN WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0820
(352) 265-0823
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0820
(352) 265-0823

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00525
NC
363A00000X
Physician Assistant
Primary
PA9104189
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001415600
FL
01
1071589
NCCPA CERT ID
Enumeration date
10/04/2006
Last updated
11/28/2011
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