Organization
CHANG-WILLIAMS MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERISSA CHANG-WILLIAMS PA (CEO/PHYSICIAN ASSISTANT)
(813) 334-6134
Entity
Organization
Contact information
Practice address
7927 STATE ROAD 52, HUDSON, FL 34667-6783
(727) 863-5808
Mailing address
12191 W LINEBAUGH AVE STE 607, TAMPA, FL 33626-1732
(813) 334-6134
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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