Provider Demographics
NPI:1578956835
Name:WILLIAM C FLEMING DPM
Entity Type:Organization
Organization Name:WILLIAM C FLEMING DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:352-873-3332
Mailing Address - Street 1:3300 SW 33RD RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7458
Mailing Address - Country:US
Mailing Address - Phone:352-873-3332
Mailing Address - Fax:352-873-0722
Practice Address - Street 1:3300 SW 33RD RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7458
Practice Address - Country:US
Practice Address - Phone:352-873-3332
Practice Address - Fax:352-873-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL87916Medicare PIN
FLT55603Medicare UPIN