Provider Demographics
NPI:1093847089
Name:ENG, WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:ENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9821 TREE TOPS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-4765
Mailing Address - Country:US
Mailing Address - Phone:813-380-6074
Mailing Address - Fax:
Practice Address - Street 1:8313 W HILLSBOROUGH AVE STE 320
Practice Address - Street 2:8002 GUNN HWY
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3802
Practice Address - Country:US
Practice Address - Phone:813-886-9069
Practice Address - Fax:813-886-0905
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82745207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology