Organization
HEALOGICS SPECIALTY PHYSICIANS OF NEBRASKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK WILLIAMS (CEO)
(904) 446-3519
Entity
Organization
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 844-8135
(401) 844-8145
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
(904) 446-3451
(904) 446-3032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026550900
—
NE
Enumeration date
08/10/2015
Last updated
06/01/2023
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