| Yvonka Williams | |
|
640 S Bay St Eustis FL 32726-4860 | |
| (689) 250-4351 | |
| Not Available |
| Full Name | Yvonka Williams |
|---|---|
| Speciality | Clinic/Center |
| Location | 640 S Bay St, Eustis, Florida |
| Authorized Official Name and Position | Yvonka S Williams (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 6892504351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yvonka Williams 1228 Mount Mckinley Ct Apopka FL 32712-5675 Ph: (689) 250-4351 | Yvonka Williams 640 S Bay St Eustis FL 32726-4860 Ph: (689) 250-4351 |
| NPI Number | 1538933577 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 7113366972 |
|---|---|
| Medicare Enrollment ID | O20240412004260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538933577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Yvonka S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548681190 PECOS PAC ID: 1658605084 Enrollment ID: I20190619000058 |
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