Healthcare Provider Details

I. General information

NPI: 1083338990
Provider Name (Legal Business Name): WILLIAM DAVID VEAZEY APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2022
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 SW 34TH CIR
OCALA FL
34474-6621
US

IV. Provider business mailing address

4430 SW 62ND LOOP
OCALA FL
34474-4777
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-2826
  • Fax:
Mailing address:
  • Phone: 352-816-5205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11021542
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: