NPI 1063989499
Shavonda Williams
Practice location
- Address
- 715 N Lake Ave, Lakeland, FL 33801-1908
- Phone
- (863) 519-0575
- Mailing address
- PO Box 1559, Bartow, FL 33831-1559
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1063989499
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Oct 2018
- Record last updated
- 24 Oct 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.