MEDICARE: WILLIAM DANIEL FINLAYSON III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	038364	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	110001775	OTHER	RR PROVIDER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588635064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM DANIEL FINLAYSON III MD

Provider Business Mailing Address
First Line	:	PO BOX 1865
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32727-1865
Country	:	US
Telephone Number	:	352-589-6367
Fax Number	:	352-589-2458

Provider Business Practice Location Address
First Line	:	801 NORTH BAY ST
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-2941
Country	:	US
Telephone Number	:	352-589-6367
Fax Number	:	352-589-2458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	02/04/2010

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