Williamson, Michael Douglas

Williamson, Michael Douglas is an individual health care provider with primary practice located at 455 Pinellas St Ste 400, Clearwater FL 33756-3354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Williamson, Michael Douglas can be contacted via phone (727) 445-1911.

Contact Information

Primary practice address
455 Pinellas St Ste 400 Clearwater FL 33756-3354
Phone: (727) 445-1911
Fax: (727) 445-1986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME31396 Florida

Profile Details

NPI number 1831180421
LBN Legal business name Williamson, Michael Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Oct 26th, 2012 - about 12 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 1831180421 NPPES
Florida MEDICAID 03642230
Florida Other 79087

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