Williams, Wendell Hiebert
Williams, Wendell Hiebert is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 245 , Jacksonville Beach FL 32250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Williams, Wendell Hiebert can be contacted via phone (904) 493-7174.Contact Information
Primary practice address
1361 13Th Ave S Ste 245
Jacksonville Beach FL 32250
Phone: (904) 493-7174
Fax: (904) 694-0696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME29168 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME29168 | Florida |
Profile Details
| NPI number | 1376509679 |
|---|---|
| LBN Legal business name | Williams, Wendell Hiebert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 10th, 2023 - about last year |
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 | 1376509679 | NPPES |
| Florida | Other | 1608901 | CIGNA |
| Florida | Other | 78589 | CIGNA |
| Florida | Other | 40538 | CIGNA |
| Florida | Other | DT8174 | CIGNA |
| Florida | Other | PO1494164 | CIGNA |
| Florida | Other | 004E6 | CIGNA |
| Florida | Other | 0098365-00 | CIGNA |
| Florida | MEDICAID | 0082748-00 | CIGNA |
Popular Providers
-
Yergin, Bruce Mitchell
3627 University Blvd S Ste 300 , Jacksonville FL 32216 -
Burger, Charles
4500 San Pablo Rd S , Jacksonville FL 32224-1865 -
Diaz, Jesus Antonio
4203 Belfort Rd Ste 345 , Jacksonville FL 32216-1469 -
Jones, Lisa M
655 W 8Th St , Jacksonville FL 32209-6511 -
Vazquez, Alexis Augustine
1361 13Th Ave S Ste 245 , Jacksonville Beach FL 32250 -
Cury, James Davis
655 W 8Th St Ufjp Pulmonary Critical Care Medicine, Jacksonville FL 32209-6511 -
Eye, Earl Howard
1842 Hickman Rd , Jacksonville FL 32216-4443 -
Pulido, Juan Daniel
1370 13Th Ave South Suite 218, Jacksonville Beach FL 32250