Provider Demographics
NPI:1255505244
Name:WILLIAMS, JAMES E (OMD, LAC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:OMD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6304 GLENCOE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3839
Mailing Address - Country:US
Mailing Address - Phone:941-929-1901
Mailing Address - Fax:941-929-1903
Practice Address - Street 1:6304 GLENCOE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3839
Practice Address - Country:US
Practice Address - Phone:941-929-1901
Practice Address - Fax:941-929-1903
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP671171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist