Williams, Andrea L

Williams, Andrea L is an sole proprietor health care provider with primary practice located at 699 W Cocoa Beach Cswy Suite 404, Cocoa Beach FL 32931-3577. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Williams, Andrea L can be contacted via phone (321) 868-2778.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Suite 404 Cocoa Beach FL 32931-3577
Phone: (321) 868-2778
Fax: (321) 868-2748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP3084972 Florida

Profile Details

NPI number 1134221716
LBN Legal business name Williams, Andrea L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Mar 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134221716 NPPES
Florida MEDICAID 306312700

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