Williams, Rory

Williams, Rory is an individual health care provider with primary practice located at 1064 Broadway Ave , Bartow FL 33830-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Rory can be contacted via phone (863) 519-9797.

Contact Information

Primary practice address
1064 Broadway Ave Bartow FL 33830-3300
Phone: (863) 519-9797
Fax: (863) 533-8723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.058880 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME120589 Florida

Profile Details

NPI number 1043522915
LBN Legal business name Williams, Rory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2010
Last updated Jul 21st, 2015 - about 9 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 1043522915 NPPES
Indiana MEDICAID 201198680
Indiana Other 000000854287

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