Individual
DR. WILLIAM S CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 4TH ST, EMCARE, ALEXANDRIA, LA 71301-8421
(727) 533-8707
(727) 507-3618
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(727) 533-8707
(727) 507-3618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.201136
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD.201136
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N3533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09281
—
LA
05
—
1092819
—
LA
05
—
181274001
—
AR
05
—
208430301
—
TX
05
—
208430302
—
TX
01
—
8V3851
BCBS
TX
01
—
TIN PLUS 042
TRICARE
TX
Enumeration date
05/29/2007
Last updated
03/26/2013
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