Organization
MEDFAST FAMILY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T. WILLIAMS D.O. (MANAGING MEMBER)
(321) 751-7222
Entity
Organization
Contact information
Practice address
7970 N WICKHAM RD, SUITE #101, MELBOURNE, FL 32940-8299
(321) 751-7222
(321) 751-6655
Mailing address
7970 N WICKHAM RD, SUITE #101, MELBOURNE, FL 32940-8299
(321) 751-7222
(321) 751-6655
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS4050
FL
Other
Enumeration date
02/26/2008
Last updated
10/24/2008
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