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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114910395 | NPPES |
| Florida | MEDICAID | 292291600 |
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