| Williston Rural Health And Wellness Clinic | |
|
300 Nw 1st Ave Williston FL 32696-2006 | |
| (352) 529-0966 | |
| Not Available |
| Full Name | Williston Rural Health And Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Nw 1st Ave, Williston, Florida |
| Authorized Official Name and Position | Frederick C Spogen (CEO) |
| Authorized Official Contact | 3525720666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williston Rural Health And Wellness Clinic 1300 Sw 42nd St Ocala FL 34471-1366 Ph: () - | Williston Rural Health And Wellness Clinic 300 Nw 1st Ave Williston FL 32696-2006 Ph: (352) 529-0966 |
| NPI Number | 1952712713 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 05/15/2014 |
| Medicare PECOS PAC ID | 3971730516 |
|---|---|
| Medicare Enrollment ID | O20140620001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952712713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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