Healthcare Provider Details

I. General information

NPI: 1669471033
Provider Name (Legal Business Name): WILLIAM HERMAN SESSIONS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 11/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4565 US HIGHWAY 17 STE 106
FLEMING ISLAND FL
32003-4822
US

IV. Provider business mailing address

6520 FORT CAROLINE RD
JACKSONVILLE FL
32277-2044
US

V. Phone/Fax

Practice location:
  • Phone: 904-269-4559
  • Fax: 904-269-4597
Mailing address:
  • Phone: 904-744-7300
  • Fax: 904-722-4271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0034771
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: