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Individual

PETER B WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
10148 US HIGHWAY 19, PORT RICHEY, FL 34668-3743
(727) 869-9191
(727) 869-9220
Mailing address
PO BOX 1084, PORT RICHEY, FL 34673-1084
(727) 869-9191
(727) 869-9220

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P02239
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
058885700
FL
01
P00116444
RAILROAD MEDICARE
FL
Enumeration date
12/08/2005
Last updated
01/27/2010
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