MEDICARE: MARIE L WILLIAMS DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO1450	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336231638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE L WILLIAMS DPM

Provider Business Mailing Address
First Line	:	2801 NE 213TH ST STE 811
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-1264
Country	:	US
Telephone Number	:	305-932-9232
Fax Number	:	305-932-9536

Provider Business Practice Location Address
First Line	:	2801 NE 213TH ST STE 811
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-1264
Country	:	US
Telephone Number	:	305-932-9232
Fax Number	:	305-932-9536

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	10/07/2022

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Directions to “ MARIE L WILLIAMS DPM” Practice Location

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