MEDICARE: DR. BRIAN JAMES WILLIAMS D.C.

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	111N00000X	Chiropractor	12690	FL

General Provider Information

NPI Number	:	1710446455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN JAMES WILLIAMS D.C.

Provider Business Mailing Address
First Line	:	2801 NE 213TH ST STE 811
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-1264
Country	:	US
Telephone Number	:	954-682-2794
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 NE 213TH ST STE 811
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33180-1264
Country	:	US
Telephone Number	:	305-874-0636
Fax Number	:

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

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	12/13/2024

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