Provider Demographics
NPI:1326511924
Name:WILLIAMS, DAVID L SR
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:WILLIAMS
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 NE 167TH ST STE 820
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2446
Mailing Address - Country:US
Mailing Address - Phone:786-300-9236
Mailing Address - Fax:305-397-1111
Practice Address - Street 1:633 NE 167TH ST STE 820
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2446
Practice Address - Country:US
Practice Address - Phone:786-300-9236
Practice Address - Fax:305-397-1111
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care