Individual
DR. ANDRE M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
352 MILUS ST, PUNTA GORDA, FL 33950-4552
(941) 639-0025
(941) 374-7271
Mailing address
PO BOX 511269, PUNTA GORDA, FL 33951-1269
(941) 639-0025
(941) 347-7271
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340579600
—
FL
01
—
65916
BLUE SHIELD
FL
01
—
POP291370
RAILROAD MEDICARE PTAN
—
Enumeration date
09/26/2005
Last updated
03/24/2010
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