Mayfield, William Ross

Mayfield, William Ross is an sole proprietor health care provider with primary practice located at 201 N Clyde Morris Blvd Suite 120, Daytona Beach FL 32114-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Mayfield, William Ross can be contacted via phone (386) 254-4029.

Contact Information

Primary practice address
201 N Clyde Morris Blvd Suite 120 Daytona Beach FL 32114-2724
Phone: (386) 254-4029
Fax: (386) 254-4274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME0063660 Florida

Profile Details

NPI number 1578627568
LBN Legal business name Mayfield, William Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578627568 NPPES
Florida Other 18828 BLUE SHIELD

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