Williston Rural Health and Wellness Clinic LLC

NPI #1538435375 in Williston, Florida

Provider Information

NPI Number
1538435375
Entity Type
Organization
Organization Name
Williston Rural Health and Wellness Clinic LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Mar 27, 2012
Last Updated
Oct 10, 2013

Practice Location

Address
300 NW 1ST AVE
State
Florida
ZIP Code
32696-2006
Phone
(352) 529-0966

Authorized Official

Name
MR. SIDNEY ERNEST CLEVINGER, M.D.
Title
MEDICAL DIRECTOR
Phone
(352) 266-7075

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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