Williams, Keith Anthony

Williams, Keith Anthony is an individual health care provider with primary practice located at 4265 Laura Street , Port Charlotte FL 33980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Williams, Keith Anthony can be contacted via phone (941) 764-7117.

Contact Information

Primary practice address
4265 Laura Street Port Charlotte FL 33980
Phone: (941) 764-7117
Fax: (941) 764-1049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME0066000 Florida

Profile Details

NPI number 1689865891
LBN Legal business name Williams, Keith Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 4th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689865891 NPPES
Florida MEDICAID 262297100

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