Provider Demographics
NPI:1033622402
Name:TIM R WILLIAMS MD PA
Entity Type:Organization
Organization Name:TIM R WILLIAMS MD PA
Other - Org Name:SOUTH FLORIDA PROTON THERAPY INSTITTUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OZBAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-323-6500
Mailing Address - Street 1:6274 LINTON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6508
Mailing Address - Country:US
Mailing Address - Phone:561-233-6500
Mailing Address - Fax:561-584-7775
Practice Address - Street 1:5280 LINTON BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6516
Practice Address - Country:US
Practice Address - Phone:561-368-4998
Practice Address - Fax:561-584-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty