Individual
DR. WILLIAM J. NEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5005 PORT ST JOHN PKWY STE 2200, PORT ST JOHN, FL 32927-4305
(321) 633-8660
(321) 633-8617
Mailing address
805 CENTURY MEDICAL DR STE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 268-6273
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME51290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061737700
—
FL
Enumeration date
06/30/2006
Last updated
04/20/2021
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