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
Phone: (407) 657-0296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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