Healthcare Provider Details

I. General information

NPI: 1871546069
Provider Name (Legal Business Name): HEATHER-ANN FRATER WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER-ANN FRATER WILLIAMS MD

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 02/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 NW 183RD ST
MIAMI FL
33169-4462
US

IV. Provider business mailing address

280 NW 183RD ST
MIAMI FL
33169-4462
US

V. Phone/Fax

Practice location:
  • Phone: 305-653-9135
  • Fax: 305-652-4984
Mailing address:
  • Phone: 305-653-9135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0035797
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: