| Williamsmd Llc | |
|
1700 66th St N Ste 302 St Petersburg FL 33710-5500 | |
| (727) 547-0239 | |
| (727) 547-0523 |
| Full Name | Williamsmd Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 66th St N Ste 302, St Petersburg, Florida |
| Authorized Official Name and Position | Luke C Williams (OWNER) |
| Authorized Official Contact | 7272212297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsmd Llc 6016 Kipps Colony Dr E Gulfport FL 33707-3967 Ph: (520) 260-6046 | Williamsmd Llc 1700 66th St N Ste 302 St Petersburg FL 33710-5500 Ph: (727) 547-0239 |
| NPI Number | 1225505571 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 08/02/2024 |
| Medicare PECOS PAC ID | 3375888076 |
|---|---|
| Medicare Enrollment ID | O20181228000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225505571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luke Carter Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366702441 PECOS PAC ID: 1951567767 Enrollment ID: I20151104001994 |
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