Individual
WILLIAM M HAMMESFAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 CR 466, STE 207 D, LADY LAKE, FL 32159
(352) 414-5322
Mailing address
19740 GULF BOULEVARD, REDINGTON SHORES, FL 33708-1146
(352) 217-7425
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME 52212
FL
2084P0005X
Neurodevelopmental Disabilities Physician
ME52212
FL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
ME52212
FL
2084V0102X
Vascular Neurology Physician
ME52212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271074900
—
FL
01
—
ME 0052212
MEDICAL LICENSE
FL
Enumeration date
06/15/2006
Last updated
03/25/2014
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