Withers, William

Withers, William is an sole proprietor health care provider with primary practice located at 400 Frandorson Cir Suite 103, Apollo Beach FL 33572-2688. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management. Agencies / Case Management is his primary health care specialty. Withers, William can be contacted via phone (813) 641-3565.

Contact Information

Primary practice address
400 Frandorson Cir Suite 103 Apollo Beach FL 33572-2688
Phone: (813) 641-3565
Fax: (813) 640-3560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH3516 Florida
Agencies / Case Management 251B00000X

Profile Details

NPI number 1205141710
LBN Legal business name Withers, William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2010
Last updated Aug 10th, 2010 - about 14 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 1205141710 NPPES
Florida MEDICAID 766864300

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