Williams, Bradley G

Williams, Bradley G is an individual health care provider with primary practice located at 1800 Barrs St , Jacksonville FL 32204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Williams, Bradley G can be contacted via phone (904) 387-4030.

Contact Information

Primary practice address
1800 Barrs St Jacksonville FL 32204
Phone: (904) 387-4030
Fax: (904) 381-9808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME82416 Florida

Profile Details

NPI number 1619946860
LBN Legal business name Williams, Bradley G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1619946860 NPPES
Florida Other 58984 BLUE CROSS BLUE SHIELD

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