Provider Demographics
NPI:1629067582
Name:WILLIAMS, TONYA R (MD)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5501 ALHAMBRA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7003
Mailing Address - Country:US
Mailing Address - Phone:407-295-1294
Mailing Address - Fax:407-290-1036
Practice Address - Street 1:5501 ALHAMBRA DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7003
Practice Address - Country:US
Practice Address - Phone:407-295-1294
Practice Address - Fax:407-290-1036
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME85335208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH91276Medicare UPIN