Organization
PETER B WILLIAMS DPM CWS PA
Active
Other names
PETER B WILLIAMS DPM CWS PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER B WILLIAMS DPM (PRESIDENT/OWNER)
(727) 869-9191
Entity
Organization
Contact information
Practice address
10148 US HIGHWAY 19, PORT RICHEY, FL 34668-3743
(727) 869-9191
(727) 734-1808
Mailing address
PO BOX 1084, PORT RICHEY, FL 34673-1084
(727) 869-9191
(727) 734-1808
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
FLPO0002239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058885700
—
FL
01
—
27-05819
EVERCARE (UHC)
FL
01
—
P00116444
RAILROAD MEDICARE
FL
Enumeration date
09/20/2006
Last updated
05/25/2011
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