Individual
BROOKE H WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
4944 W SAN RAFAEL ST, TAMPA, FL 33629-5404
(813) 288-8932
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME87940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273657800
—
FL
01
—
29264
FL BCBS PROVIDER NUMBER
FL
01
—
7245817
AETNA GTBA
FL
01
—
P00275917
MEDICARE RAILROAD
FL
Enumeration date
05/18/2006
Last updated
04/11/2008
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