Williams, Mark Edward

Williams, Mark Edward is an individual health care provider with primary practice located at 1401 S Apollo Blvd Suite B, Melbourne FL 32901-3179. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Williams, Mark Edward can be contacted via phone (321) 725-5151.

Contact Information

Primary practice address
1401 S Apollo Blvd Suite B Melbourne FL 32901-3179
Phone: (321) 725-5151
Fax: (321) 725-5157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9243193 Florida

Profile Details

NPI number 1447380258
LBN Legal business name Williams, Mark Edward
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated May 19th, 2008 - about 16 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 1447380258 NPPES
Florida Other BCBS G2420 BCBS

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