MEDICARE: WILLIAM WILLIAMS MD

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	207P00000X	Emergency Medicine Physician	ME56842	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11543	OTHER	FL	BCBS OF FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740283589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM WILLIAMS MD

Provider Business Mailing Address
First Line	:	12479 TELECOM DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33637-0913
Country	:	US
Telephone Number	:	813-972-4199
Fax Number	:	813-972-5753

Provider Business Practice Location Address
First Line	:	2025 INDIAN ROCKS RD S
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-1035
Country	:	US
Telephone Number	:	727-581-9474
Fax Number	:	727-587-7602

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/19/2008

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