Provider Demographics
NPI:1972578136
Name:WILLIAMS, CHRISTOPHER RAMON (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RAMON
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8708 PERIMETER PARK BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1107
Mailing Address - Country:US
Mailing Address - Phone:904-652-8693
Mailing Address - Fax:
Practice Address - Street 1:8708 PERIMETER PARK BLVD STE 4
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-652-8693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94735208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA552071360AMedicaid
FL2732432-00Medicaid
FLP00279839OtherRAILROAD MEDICARE
FLP00279839OtherRAILROAD MEDICARE
FL2732432-00Medicaid