Organization
WILLIAM J NAMEN II DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J NAMEN II D.P.M., P.A. (OWNER)
(904) 636-9197
Entity
Organization
Contact information
Practice address
9310 OLD KINGS RD S, SUITE 1201, JACKSONVILLE, FL 32257-6152
(904) 636-9197
(904) 636-9282
Mailing address
9310 OLD KINGS RD S, SUITE 1201, JACKSONVILLE, FL 32257-6152
(904) 636-9197
(904) 636-9282
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390169601
—
FL
01
—
480026429
RR MEDICARE
FL
Enumeration date
01/24/2007
Last updated
03/17/2025
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