Healthcare Provider Details

I. General information

NPI: 1831217892
Provider Name (Legal Business Name): JOSEPH C WILLAIMS MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 MARINER BLVD
SPRING HILL FL
34609-2492
US

IV. Provider business mailing address

3510 MARINER BLVD
SPRING HILL FL
34609-2492
US

V. Phone/Fax

Practice location:
  • Phone: 352-686-9027
  • Fax:
Mailing address:
  • Phone: 352-686-9027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: TINA H
Title or Position: MANAGER
Credential:
Phone: 352-686-9027