Williams, Deborah M

Williams, Deborah M is an individual health care provider with primary practice located at 4800 Belfort Rd , Jacksonville FL 32256-6004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Williams, Deborah M can be contacted via phone (904) 398-7205.

Contact Information

Primary practice address
4800 Belfort Rd Jacksonville FL 32256-6004
Phone: (904) 398-7205
Fax: (904) 396-4047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103059 Florida

Profile Details

NPI number 1114910395
LBN Legal business name Williams, Deborah M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 19th, 2012 - about 14 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 1114910395 NPPES
Florida MEDICAID 292291600

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