MEDICARE: ROGER N WILLIAMS MD PA

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	207X00000X	Orthopaedic Surgery Physician	ME0012484	FL

General Provider Information

NPI Number	:	1952389330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROGER N WILLIAMS MD PA

Provider Business Mailing Address
First Line	:	773 4TH AVE N
Second Line	:	STE E
City	:	NAPLES
State	:	FL
Zip	:	34102-5778
Country	:	US
Telephone Number	:	239-262-5226
Fax Number	:	239-262-4501

Provider Business Practice Location Address
First Line	:	773 4TH AVE N
Second Line	:	STE E
City	:	NAPLES
State	:	FL
Zip	:	34102-5778
Country	:	US
Telephone Number	:	239-262-5226
Fax Number	:	239-262-4501

Authorized Official
Title or Position	:	MD PRESIDENT
Name	:	ROGER N WILLIAMS
Credential	:	MD
Telephone Number	:	239-262-5226

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	08/22/2020

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