Williston Family Practice,pa

NPI #1295938785 in Williston, Florida

Provider Information

NPI Number: 1295938785
Entity Type: Organization
Organization Name: Williston Family Practice,pa
Primary Specialty: Family Medicine
Enumeration Date: Jun 11, 2007
Last Updated: Nov 18, 2010

Practice Location

Address: 111 W NOBLE AVE
City: Williston
State: Florida
ZIP Code: 32696-2027
Phone: (352) 529-1111

Authorized Official

Name: ERICA NATASHA MCBRIDE
Title: OFFICEMANAGER
Phone: (352) 529-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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