| Calvin Williams, | |
|
501 Live Oak St Ste B, New Smyrna Beach, FL 32168-7300 | |
| (386) 231-3600 | |
| (386) 231-3600 |
| Full Name | Calvin Williams |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 501 Live Oak St Ste B, New Smyrna Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801335898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | OS20767 (Florida) | Primary |
| Entity Name | Memorial Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922115914 PECOS PAC ID: 9739081142 Enrollment ID: O20040730000409 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin Williams, Po Box 935921, Atlanta, GA 31193-5921 Ph: () - | Calvin Williams, 501 Live Oak St Ste B, New Smyrna Beach, FL 32168-7300 Ph: (386) 231-3600 |
Dr. Willy Alberto Bustinza Farfan, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Palmetto St Fl 2, New Smyrna Beach, FL 32168 Phone: 386-428-8326 | |
Rebecca Ann Gill, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Palmetto St Ste 3, New Smyrna Beach, FL 32168 Phone: 386-428-8326 Fax: 386-428-2493 | |
John Fulginiti Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 807 E 7th Ave, New Smyrna Beach, FL 32169 Phone: 386-259-8803 Fax: 386-281-9981 | |
Dr. Jaime Alberto Rodriguez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 406b Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-427-6791 Fax: 386-427-8028 | |
Dr. Tara Beth Wilson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 Live Oak St, New Smyrna Beach, FL 32168 Phone: 386-274-0250 |