| Williams Family Practice PLLC | |
|
8696 Vineland Ave Orlando FL 32821-6400 | |
| (904) 600-7217 | |
| Not Available |
| Full Name | Williams Family Practice PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 8696 Vineland Ave, Orlando, Florida |
| Authorized Official Name and Position | Jacqueline Jenkins (OWNER) |
| Authorized Official Contact | 9046007217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Family Practice PLLC 921 Woodlark Dr Haines City FL 33844-7746 Ph: (904) 600-7217 | Williams Family Practice PLLC 8696 Vineland Ave Orlando FL 32821-6400 Ph: (904) 600-7217 |
| NPI Number | 1932887007 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/09/2023 |
| Medicare PECOS PAC ID | 1759727464 |
|---|---|
| Medicare Enrollment ID | O20240315001381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932887007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Jacqueline Elizabeth Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619562147 PECOS PAC ID: 1355731985 Enrollment ID: I20211214000616 |
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