Healthcare Provider Details

I. General information

NPI: 1346552015
Provider Name (Legal Business Name): CARLOS WILLIAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2010
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S HARBOR CITY BLVD STE 420
MELBOURNE FL
32901-5591
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 321-768-9914
  • Fax: 321-953-1893
Mailing address:
  • Phone: 321-768-9914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME173414
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: