Provider Demographics
NPI:1336374289
Name:WILLIAMS, JOSEPH J (AP, DOM)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 W NEWBERRY RD
Mailing Address - Street 2:RM #180
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4308
Mailing Address - Country:US
Mailing Address - Phone:352-665-1090
Mailing Address - Fax:866-312-1218
Practice Address - Street 1:6420 W NEWBERRY RD
Practice Address - Street 2:RM #180
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4308
Practice Address - Country:US
Practice Address - Phone:352-665-1090
Practice Address - Fax:866-312-1218
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2692171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist