1104099399 NPI number — SHYNEQURIA DONSHEA WILLIAMS-MCNEALY

Table of content: SHYNEQURIA DONSHEA WILLIAMS-MCNEALY (NPI 1104099399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104099399 NPI number — SHYNEQURIA DONSHEA WILLIAMS-MCNEALY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS-MCNEALY
Provider First Name:
SHYNEQURIA
Provider Middle Name:
DONSHEA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104099399
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 250
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRETNA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32332-0250
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-875-3350
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2457 CARE DR
Provider Second Line Business Practice Location Address:
SUITE D100
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32308-3501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-841-1166
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  9167823 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 024111600 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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