Provider Demographics
NPI:1710141387
Name:WILLIAMS ENDOCRINOLOGY INC
Entity Type:Organization
Organization Name:WILLIAMS ENDOCRINOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-427-2585
Mailing Address - Street 1:PO BOX 970144
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33097-0144
Mailing Address - Country:US
Mailing Address - Phone:954-427-2585
Mailing Address - Fax:954-427-2584
Practice Address - Street 1:4800 W HILLSBORO BLVD
Practice Address - Street 2:A-14
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4371
Practice Address - Country:US
Practice Address - Phone:954-427-2585
Practice Address - Fax:954-427-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70140174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
46443YMedicare UPIN