Healthcare Provider Details

I. General information

NPI: 1134148497
Provider Name (Legal Business Name): JOSEPH CLARK WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8172 CHAUCER DR
WEEKI WACHEE FL
34607-2204
US

IV. Provider business mailing address

14690 SPRING HILL DR STE 305
SPRING HILL FL
34609-8102
US

V. Phone/Fax

Practice location:
  • Phone: 352-686-8818
  • Fax: 352-686-9856
Mailing address:
  • Phone: 352-277-5348
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberME40691
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: