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Individual

DR. PAUL DAVID WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40124 HIGHWAY 27 STE 207, DAVENPORT, FL 33837-5905
(863) 419-8072
(863) 421-7109
Mailing address
40124 HIGHWAY 27 STE 207, DAVENPORT, FL 33837-5905
(863) 421-7276
(863) 421-7109

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME133737
FL
208600000X
Surgery Physician
MT200183
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001582515
FL
01
608195
BLUE CROSS BLUE SHIELD
Enumeration date
08/21/2006
Last updated
09/24/2018
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