Healthcare Provider Details

I. General information

NPI: 1720368129
Provider Name (Legal Business Name): CATHERINE NASRIN WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3090 CHARLES AVE STE B
CLEARWATER FL
33761-3361
US

IV. Provider business mailing address

3090 CHARLES AVE STE B
CLEARWATER FL
33761-3361
US

V. Phone/Fax

Practice location:
  • Phone: 727-900-5533
  • Fax: 727-255-5853
Mailing address:
  • Phone: 727-900-5533
  • Fax: 727-255-5853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberME105967
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME105967
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: