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Individual

DR. WILLIAM WESSON NIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8236 KETCH CT, JACKSONVILLE, FL 32216-6331
(904) 923-3484
Mailing address
8236 KETCH CT, JACKSONVILLE, FL 32216-6331
(904) 923-3484

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME89110
FL
208D00000X
General Practice Physician
Primary
ME89110
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HO185Y
MEDICARE
FL
Enumeration date
12/02/2005
Last updated
05/15/2019
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