Doctor Name: | MR. DAVE WILLIAMS |
NPI Number: | 1144496969 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT 18692 |
Business Practice Address: | 2718 Lee Blvd Ste C Lehigh Acres, FL - 339361537 |
Business Phone Number: | 2393031501 |
Business Fax Number: | 2393039297 |
Mailing Address: | Po Box 1199, LEHIGH ACRES |
State: | FL |
Postal Code: | 339701199 |
Phone Number: | 2393031501 |
Fax Number: | 2393039297 |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT 18692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |