Individual
SCOTT SHIELDS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5153 N 9TH AVE STE 4B, PENSACOLA, FL 32504-8785
(850) 416-2280
(850) 416-2258
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
ME165219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02822278
—
MS
05
—
148504
—
AZ
05
—
173607601
—
TX
05
—
1755095
—
LA
Enumeration date
03/24/2006
Last updated
10/04/2024
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