Individual
DR. WILLIAM SAMUEL HAVRON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 W UNDERWOOD ST, STE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059
Mailing address
77 W UNDERWOOD ST, STE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME121404
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013634100
—
FL
01
—
ME121404
MEDICAL LICENSE
FL
Enumeration date
05/24/2007
Last updated
11/15/2016
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