Organization
MARK M. WILLIAMS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK M WILLIAMS MD (PRESIDENT)
(850) 769-2757
Entity
Organization
Contact information
Practice address
2202 COUNTRY CLUB DR, LYNN HAVEN, FL 32444-1992
(850) 381-1010
(888) 374-8684
Mailing address
21C ORINDA WAY # 367, ORINDA, CA 94563-2534
(850) 769-2757
(888) 374-8684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0057987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372895100
—
FL
Enumeration date
09/21/2007
Last updated
02/26/2026
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