Provider Demographics
NPI:1003975020
Name:HAROLD S WILLIAMS, M.D. & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:HAROLD S WILLIAMS, M.D. & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-652-6466
Mailing Address - Street 1:100 NW 170TH ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5513
Mailing Address - Country:US
Mailing Address - Phone:305-652-6466
Mailing Address - Fax:305-652-3104
Practice Address - Street 1:100 NW 170TH ST
Practice Address - Street 2:SUITE 405
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5513
Practice Address - Country:US
Practice Address - Phone:305-652-6466
Practice Address - Fax:305-652-3104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL059789900Medicaid
FLB89774Medicare UPIN
FL059789900Medicaid