| John V. Williams, M.d., Pa | |
|
10071 Pines Blvd Ste A Pembroke Pines FL 33024-6182 | |
| (954) 666-4650 | |
| (954) 908-3095 |
| Full Name | John V. Williams, M.d., Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10071 Pines Blvd Ste A, Pembroke Pines, Florida |
| Authorized Official Name and Position | John V Williams (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9546664650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John V. Williams, M.d., Pa 6011 Sw 136th Ave Southwest Ranches FL 33330-3701 Ph: (954) 666-4560 | John V. Williams, M.d., Pa 10071 Pines Blvd Ste A Pembroke Pines FL 33024-6182 Ph: (954) 666-4650 |
| NPI Number | 1316402886 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Medicare PECOS PAC ID | 4789005877 |
|---|---|
| Medicare Enrollment ID | O20200527002587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316402886 | NPI | - | NPPES |
| 045678101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John V Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609863489 PECOS PAC ID: 1456446707 Enrollment ID: I20071001000760 |
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