Williams, Mark

Williams, Mark is an individual health care provider with primary practice located at 3727 N Goldenrod Rd Ste 105 , Winter Park FL 32792-8611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Williams, Mark can be contacted via phone (407) 657-0296.

Contact Information

Primary practice address
3727 N Goldenrod Rd Ste 105 Winter Park FL 32792-8611
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME54570 Florida

Profile Details

NPI number 1770558702
LBN Legal business name Williams, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 7th, 2022 - about 2 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 1770558702 NPPES
Florida Other 0624921 AETNA
Florida MEDICAID 061510200 AETNA
Florida Other 08545 AETNA
Florida Other 3100042 AETNA

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