Organization
WILLIAM NICHOLSON AINSWORTH IV MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM NICHOLSON AINSWORTH IV M.D. (OWNER)
(386) 328-8856
Entity
Organization
Contact information
Practice address
6121 CRILL AVE, PALATKA, FL 32177-3875
(386) 328-8856
(386) 328-7646
Mailing address
6121 CRILL AVE, PALATKA, FL 32177-3875
(386) 328-8856
(386) 328-7646
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0047518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043732800
—
FL
Enumeration date
12/11/2014
Last updated
12/11/2014
Update your record
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