Doctor Name: | DR. JOSEPH CLARK WILLIAMS |
NPI Number: | 1134148497 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME40691 |
Business Practice Address: | 8172 Chaucer Dr Weeki Wachee, FL - 346072204 |
Business Phone Number: | 3526868818 |
Business Fax Number: | 3526869856 |
Mailing Address: | 15215 Cortez Blvd, BROOKSVILLE |
State: | FL |
Postal Code: | 346136072 |
Phone Number: | 3527990046 |
Fax Number: | 3527990115 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 01/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | ME40691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |