Provider Demographics
NPI:1477530905
Name:WILLIAMS, GEORGE F (DPM)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:F
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34921 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1969
Mailing Address - Country:US
Mailing Address - Phone:727-785-8338
Mailing Address - Fax:727-781-5110
Practice Address - Street 1:34921 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 400
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1969
Practice Address - Country:US
Practice Address - Phone:727-785-8338
Practice Address - Fax:727-781-5110
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3050213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2701198OtherUNITED HEALTHCARE
FL65801VOtherMEDICARE PTAN
FL65801ZOtherRR MEDICARE
FL65801OtherBLUE CROSS BLUE SHIELD
FLHN987AOtherMEDICARE PTAN
FL6902560001OtherMEDICARE PTAN
FL2701198OtherUNITED HEALTHCARE
FL6902560001OtherMEDICARE PTAN
FL65801ZOtherRR MEDICARE