Individual
ERIC WILLIAMS OWINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10080 SW INNOVATION WAY STE 201, PORT ST LUCIE, FL 34987-2129
(772) 344-3811
(772) 344-3890
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5653
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME131183
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021917200
—
FL
01
—
ZJGLA
FLORIDA BLUE
FL
Enumeration date
06/21/2012
Last updated
10/14/2020
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