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Caelan Williams, ATC
NPI 1073145983 · on the registry since 2020
Practice
- Address
- 1658 Kings Rd
Jacksonville, FL 32209 - Phone
- (904) 470-8000
- Organisation at this address
- Edward Waters University
W.B. Stewart Tigers Athletics BoostersInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida