Healthcare Provider Details

I. General information

NPI: 1427889518
Provider Name (Legal Business Name): RONY SCOTT WILLIAMS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E ROLLINS ST STE 11100
ORLANDO FL
32804-5570
US

IV. Provider business mailing address

265 E ROLLINS ST STE 11100
ORLANDO FL
32804-5570
US

V. Phone/Fax

Practice location:
  • Phone: 844-407-4070
  • Fax: 321-788-9925
Mailing address:
  • Phone: 407-416-3075
  • Fax: 321-788-9925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: