Williams-Wallace, Nancy E

Williams-Wallace, Nancy E is an sole proprietor health care provider with primary practice located at 36422 Us Highway 19 N , Palm Harbor FL 34684-1330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Williams-Wallace, Nancy E can be contacted via phone (727) 772-7712.

Contact Information

Primary practice address
36422 Us Highway 19 N Palm Harbor FL 34684-1330
Phone: (727) 772-7712
Fax: (727) 772-6891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME69004 Florida

Profile Details

NPI number 1184650970
LBN Legal business name Williams-Wallace, Nancy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184650970 NPPES
Florida MEDICAID 378657900

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