Individual
DR. KEITH ANTHONY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4265 LAURA STREET, PORT CHARLOTTE, FL 33980
(941) 764-7117
(941) 764-1049
Mailing address
PO BOX 510816, PUNTA GORDA, FL 33951-0816
(941) 764-7117
(941) 764-1049
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME0066000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262297100
—
FL
Enumeration date
08/05/2007
Last updated
01/04/2011
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