Provider Demographics
NPI:1326088923
Name:WILLIAMS, BARBARA WEYERS (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:WEYERS
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 APALACHEE PKWY
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-4542
Mailing Address - Country:US
Mailing Address - Phone:850-878-8843
Mailing Address - Fax:850-681-2848
Practice Address - Street 1:1160 APALACHEE PKWY
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-4542
Practice Address - Country:US
Practice Address - Phone:850-878-8843
Practice Address - Fax:850-681-2848
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0038292207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL038096200Medicaid
FLD57741Medicare UPIN
FL65008YMedicare ID - Type Unspecified