Williams, David L

Williams, David L is an individual health care provider with primary practice located at 350 N Clyde Morris Blvd , Daytona Beach FL 32114-2733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Williams, David L can be contacted via phone (386) 238-3289.

Contact Information

Primary practice address
350 N Clyde Morris Blvd Daytona Beach FL 32114-2733
Phone: (386) 238-3289
Fax: (386) 238-3296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0035686 Florida

Profile Details

NPI number 1265420103
LBN Legal business name Williams, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 18th, 2013 - about 11 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 1265420103 NPPES
Florida Other 1265420103 TRICARE
Florida Other ME0035686 TRICARE
Florida Other 02040 TRICARE
Florida Other ME0035686 TRICARE
Florida Other ME0035686 TRICARE
Florida MEDICAID 266471200 TRICARE
Florida Other P00871462 TRICARE

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