Williams, David

Williams, David is an individual health care provider with primary practice located at 490 Centre Lake Dr Ne Suite 200, Palm Bay FL 32907-1113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Williams, David can be contacted via phone (800) 476-8646.

Contact Information

Primary practice address
490 Centre Lake Dr Ne Suite 200 Palm Bay FL 32907-1113
Phone: (800) 476-8646
Fax: (919) 382-3210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS6588 Florida

Profile Details

NPI number 1760484034
LBN Legal business name Williams, David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 14th, 2021 - about 3 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 1760484034 NPPES
Florida Other 57352 BCBS GROUP # 34457
Florida MEDICAID 379858500 BCBS GROUP # 34457
Florida Other 57352 BCBS GROUP # 34457

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