Williams, Paul David
Williams, Paul David is an individual health care provider with primary practice located at 40124 Highway 27 Ste 207 , Davenport FL 33837-5905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Williams, Paul David can be contacted via phone (863) 419-8072.Contact Information
Primary practice address
40124 Highway 27 Ste 207
Davenport FL 33837-5905
Phone: (863) 419-8072
Fax: (863) 421-7109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MT200183 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME133737 | Florida |
Profile Details
| NPI number | 1861508111 |
|---|---|
| LBN Legal business name | Williams, Paul David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Sep 24th, 2018 - about 6 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 | 1861508111 | NPPES |
| Florida | MEDICAID | 001582515 | |
| Florida | Other | 608195 |
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