Provider Demographics
NPI:1760449185
Name:WILLIAMS, OSWALD ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:OSWALD
Middle Name:ANTHONY
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6101 DR MLK JR ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703
Mailing Address - Country:US
Mailing Address - Phone:727-527-6200
Mailing Address - Fax:727-347-0893
Practice Address - Street 1:6101 DR MLK JR ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-3370
Practice Address - Country:US
Practice Address - Phone:727-527-6200
Practice Address - Fax:727-527-3526
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME62503207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372030600Medicaid
2286682OtherAETNA
FL173980525974OtherHUMANA
202776OtherAVMED
FL00040361836OtherUNITED HEALTH CARE
FL1063698744OtherCOLONIALPENN