Williams, Bonita S

Williams, Bonita S is an individual health care provider with primary practice located at 430 Pinellas St Ste 400 , Clearwater FL 33756-3365. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Williams, Bonita S can be contacted via phone (727) 461-8300.

Contact Information

Primary practice address
430 Pinellas St Ste 400 Clearwater FL 33756-3365
Fax: (813) 635-2187
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND4886 Florida

Profile Details

NPI number 1609024629
LBN Legal business name Williams, Bonita S
Credentials Medical Nutrition Therapist (MNT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Jan 22nd, 2021 - about 3 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 1609024629 NPPES
Florida Other P00726956 RAILROAD MEDICARE PROVIDER NUMBER

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