| Dr Fredrick Thomas Williams Jr, DC | |
|
501 S Falkenburg Rd Ste A2, Tampa, FL 33619-8040 | |
| (813) 434-1045 | |
| (813) 434-1259 |
| Full Name | Dr Fredrick Thomas Williams Jr |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 501 S Falkenburg Rd Ste A2, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962801613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH 11209 (Florida) | Primary |
| Provider Name | Kingdom Medical Group |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457012585 PECOS PAC ID: 0042656571 Enrollment ID: O20240307000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fredrick Thomas Williams Jr, DC Po Box 153072, Tampa, FL 33684-3072 Ph: (813) 434-1045 | Dr Fredrick Thomas Williams Jr, DC 501 S Falkenburg Rd Ste A2, Tampa, FL 33619-8040 Ph: (813) 434-1045 |
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