Williamson, Malcolm Edward

Williamson, Malcolm Edward is an individual health care provider with primary practice located at 1818 Sw 15Th Ave , Ocala FL 34474-3548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Williamson, Malcolm Edward can be contacted via phone (352) 671-4300.

Contact Information

Primary practice address
1818 Sw 15Th Ave Ocala FL 34474-3548
Fax: (352) 671-4393
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME72868 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME72868 Florida

Profile Details

NPI number 1144218991
LBN Legal business name Williamson, Malcolm Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jan 14th, 2010 - about 14 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 1144218991 NPPES
Florida MEDICAID 258744100

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