Organization
JOHN C. WILLIAMSON, M.D.
Active
Other names
Capitol Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C WILLIAMSON M.D. (PRESIDENT)
(512) 443-5988
Entity
Organization
Contact information
Practice address
3355 CLARK RD, SARASOTA, FL 34231-8400
(941) 309-7284
Mailing address
4007 JAMES CASEY ST, C150, AUSTIN, TX 78745-3369
(512) 443-5988
(512) 443-5055
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
ME92630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K8826
MEDICARE GROUP NUMBER
FL
Enumeration date
10/19/2007
Last updated
10/19/2007
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