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General NPI Number Information
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NPI Number | 1346552015
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Entity Type | Individual
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Provider Name | CARLOS WILLIAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2222 S HARBOR CITY BLVD STE 420
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City | MELBOURNE
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State | FL
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Zip | 32901-5591
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Country | US
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Telephone | 321-768-9914
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Fax | 321-953-1893
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Provider Business Mailing Address
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Address Line | 3300 S FISKE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4306
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Country | US
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Telephone | 321-768-9914
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME173414
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License Number State | FL
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