Provider Demographics
NPI:1134384084
Name:HANIF WILLIAMS PA
Entity type:Organization
Organization Name:HANIF WILLIAMS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASTRID
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-271-3131
Mailing Address - Street 1:11030 SW 88TH ST
Mailing Address - Street 2:STE#200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1220
Mailing Address - Country:US
Mailing Address - Phone:305-271-3131
Mailing Address - Fax:305-595-8043
Practice Address - Street 1:11030 SW 88TH ST
Practice Address - Street 2:STE#200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1220
Practice Address - Country:US
Practice Address - Phone:305-271-3131
Practice Address - Fax:305-595-8043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL44983207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96722Medicare UPIN