Individual
MR. MARK EDWARD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1401 S APOLLO BLVD, SUITE B, MELBOURNE, FL 32901-3179
(321) 725-5151
(321) 725-5157
Mailing address
2160 N HIGHWAY A1A, UNIT 104, INDIALANTIC, FL 32903-2559
(321) 725-5151
(321) 725-5157
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9243193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS G2420
BCBS
FL
Enumeration date
03/07/2007
Last updated
05/19/2008
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