Williams, Randall

Williams, Randall is an individual health care provider with primary practice located at 1825 Gilmore Ave , Lakeland FL 33805-3017. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Williams, Randall can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1825 Gilmore Ave Lakeland FL 33805-3017
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1649653171
LBN Legal business name Williams, Randall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2015
Last updated Jul 1st, 2015 - about 10 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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