Individual
DR. DAVID WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
490 CENTRE LAKE DR NE, SUITE 200, PALM BAY, FL 32907-1113
(800) 476-8646
(919) 382-3210
Mailing address
725 S TROPICAL TRL, MERRITT ISLAND, FL 32952-4952
(321) 751-7222
(321) 454-7494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS6588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379858500
—
FL
01
—
57352
BCBS GROUP # 34457
FL
Enumeration date
06/01/2005
Last updated
04/14/2021
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