| Doctor Name: | DR. WILLIAM WESSON NIELDS |
| NPI Number: | 1972587848 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME89110 |
| Business Practice Address: | 10250 Normandy Blvd Ste. 801 Jacksonville, FL - 322218059 |
| Business Phone Number: | 9043797155 |
| Business Fax Number: | 9043797165 |
| Mailing Address: | 3839 County Road 218, MIDDLEBURG |
| State: | FL |
| Postal Code: | 320685708 |
| Phone Number: | 9042826331 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2005 |
| NPI Last Update Date: | 08/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME89110 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |