Organization
ANGEL WILLIAMSON IMAGING CENTER P A
Active
Other names
Pensacola Diagnostic Center And Breast Clinic Angel Williamson Womens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J WILLIAMSON MD (ADMINISTRATOR)
(850) 476-1161
Entity
Organization
Contact information
Practice address
5120 BAYOU BLVD, SUITE 9, PENSACOLA, FL 32503
(850) 476-1161
(850) 476-1550
Mailing address
5120 BAYOU BLVD, SUITE 9, PENSACOLA, FL 32503
(850) 476-1161
(850) 476-1550
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373112000
—
FL
01
—
CA2365
RAILROAD MEDICARE
FL
01
—
V2944
BCBS FL
FL
Enumeration date
09/08/2006
Last updated
06/16/2008
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