Individual
DEBRA SUE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 747-7900
Mailing address
PO BOX 11317, DAYTONA BEACH, FL 32120-1317
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME59831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12373
BLUE CROSS OF FLORIDA
FL
05
—
370926400
—
FL
05
—
850175195A
—
GA
Enumeration date
06/12/2006
Last updated
08/03/2009
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