Provider Demographics
NPI:1992158067
Name:WILLIAMS, CECILIA A (APRN)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 10TH ST E STE C
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4120
Mailing Address - Country:US
Mailing Address - Phone:941-348-0888
Mailing Address - Fax:949-437-3653
Practice Address - Street 1:1303 10TH ST E STE C
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4120
Practice Address - Country:US
Practice Address - Phone:941-348-9088
Practice Address - Fax:949-437-3653
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9267400363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty