| Williston Family Practice,pa | |
|
111 W Noble Ave Williston FL 32696-2027 | |
| (352) 529-1111 | |
| (352) 529-1115 |
| Full Name | Williston Family Practice,pa |
|---|---|
| Speciality | Family Medicine |
| Location | 111 W Noble Ave, Williston, Florida |
| Authorized Official Name and Position | Erica Natasha Mcbride (OFFICEMANAGER) |
| Authorized Official Contact | 3525291111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williston Family Practice,pa 111 W Noble Ave Williston FL 32696-2027 Ph: (352) 529-1111 | Williston Family Practice,pa 111 W Noble Ave Williston FL 32696-2027 Ph: (352) 529-1111 |
| NPI Number | 1295938785 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295938785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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