WILLISTON PEDIATRICS, INC


Address: 223 N Main St, Williston, FL 32696-2136
Phone: 3525290477

WILLISTON PEDIATRICS, INC (NPI# 1326137001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326137001
Entity Type Organization
Organization Name WILLISTON PEDIATRICS, INC
Practice Address 223 N Main St
Williston
FL 32696-2136
Practice Telephone 3525290477
Practice Fax Number 3525290406
Mailing Telephone 3525290477
Mailing Fax Number 3525290406
Enumeration Date 2006-10-12
Last Update Date 2020-10-28
Authorized Official Name MS. ANDREA M QUINLAN (TREASURER)
Authorized Official Telephone 3525290477
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 660141301 05
FL 660141300 05

Office Location

Street Address 223 N MAIN ST
City WILLISTON
State FL
Zip Code 32696-2136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740694835 Heather Nicole Stancil Nurse Practitioner 223 N Main St, Williston, FL 32696-2136 2014-06-17
1730103599 Casady Blauw Gaines Pediatrics 223 N Main St, Williston, FL 32696-2136 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962060939 Quick Care Med LLC Non-Pharmacy Dispensing Site 517 W Noble Ave, Williston, FL 32696 2019-06-04
1346770930 Michelle Yvette Dempsey Home Health Aide 931 Ne 207th Ave, Williston, FL 32696 2017-06-15
1801157185 Pratibha Lumb Family Medicine 630 N. Main Street, Williston, FL 32696 2012-06-04
1821261306 Raymond T Webber Dentist 610 Sw 1st Ave, Williston, FL 32696 2008-04-07
1003912635 Jeremie Joseph Young General Practice 125 Sw 7th Street, Williston, FL 32696 2006-09-14
1073514543 Kolli Prabhakara Reddy Family Medicine 520 Sw 5th Ave, Williston, FL 32696 2005-08-09
1578584884 Winn Dixie Stores Inc Durable Medical Equipment & Medical Supplies 727 W Noble Ave, Williston, FL 32696-1515 2006-07-21
1841631249 Lawrence C Rush Jr. Pharmacist 727 W Noble Ave, Williston, FL 32696-1515 2013-07-13
1952401648 Teresa Sever Pharmacist 727 W Noble Ave, Williston, FL 32696-1515 2006-09-23
1497060784 Priscilla Smith Social Worker 18990 Ne 49th St, Williston, FL 32696-1555 2010-08-11
Find all providers in zip 32696

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497985162 Barnwell County Hospital Clinic/Center 45 Roundtree St, Williston, SC 29853-2303 2009-07-16
1134252588 Carolina Rural Practice Management, Inc. Clinic/Center 2677 Main St, Williston, SC 29853-0177 2007-03-14
1720487200 Sc Healthcare Investments LLC Clinic/Center 45 Roundtree St, Williston, SC 29853-2303 2014-08-20
1952712713 Cns Holding Company LLC Clinic/Center 300 Nw 1st Ave, Williston, FL 32696-2006 2014-05-15
1962748400 Regional Health Partners LLC Clinic/Center 125 Sw 7th St, Williston, FL 32696-2403 2013-01-02
1538435375 Williston Rural Health and Wellness Clinic LLC Clinic/Center 300 Nw 1st Ave, Williston, FL 32696-2006 2012-03-27
1629247259 Cypress Health Systems Florida Inc. Clinic/Center 125 Sw 7th St, Williston, FL 32696-2403 2008-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952917015 Bonifay Rural Health Cinic Clinic/Center 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 2020-09-23
1013540947 Clark Clinic Inc Clinic/Center 12620 Curley St, San Antonio, FL 33576-8136 2020-02-19
1023506532 Sacred Heart Hospital On The Gulf Clinic/Center 805 Highway 22, Wewahitchka, FL 32465-3237 2018-04-30
1639693492 Clark Clinic Inc Clinic/Center 910 W Myers Blvd, Mascotte, FL 34753-9748 2017-08-02
1194173419 Holmes County Hospital Corporation Clinic/Center 5556 Brown St, Graceville, FL 32440-1007 2016-05-26
1568826873 Healthvine Medical Group Inc Clinic/Center 725 Benton Ave, Brooksville, FL 34601-3213 2016-04-12
1164808465 Family and After Hours Care, LLC Clinic/Center 1413 Nw 23rd Ave, Chiefland, FL 32626 2015-08-10
1891171914 High Springs Pediatrics LLC. Clinic/Center 14900 Nw 140th St, Alachua, FL 32615-6276 2015-07-31
1982963344 Sacred Heart Hospital On The Gulf Clinic/Center 55 Avenue 'e', Apalachicola, FL 32320-1763 2012-05-04
1760776900 Sonnis Pediatrics, Inc. Clinic/Center 1125 S 6th Ave, Wauchula, FL 33873-3350 2011-06-06
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Competitor

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City WILLISTON
Zip Code 32696

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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