| Williston Rural Health And Wellness Clinic Llc | |
|
300 Nw 1st Ave Williston FL 32696-2006 | |
| (352) 529-0966 | |
| (352) 529-0967 |
| Full Name | Williston Rural Health And Wellness Clinic Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 300 Nw 1st Ave, Williston, Florida |
| Authorized Official Name and Position | Sidney Ernest Clevinger (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3522667075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williston Rural Health And Wellness Clinic Llc 300 Nw 1st Ave Williston FL 32696-2006 Ph: (352) 529-0966 | Williston Rural Health And Wellness Clinic Llc 300 Nw 1st Ave Williston FL 32696-2006 Ph: (352) 529-0966 |
| NPI Number | 1538435375 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538435375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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