| Doctor Name: | DR. STANFORD ANTHONY WILLIAMSON |
| NPI Number: | 1619003746 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | DO.923 |
| Business Practice Address: | 2962 Trivium Cir Suite 106 Fort Lauderdale, FL - 333124655 |
| Business Phone Number: | 9547911600 |
| Business Fax Number: | 9547911600 |
| Mailing Address: | 2962 Trivium Cir, Suite 106 FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333124655 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2007 |
| NPI Last Update Date: | 09/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DO.923 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |