Provider Demographics
NPI:1649295403
Name:WILLIAMS, ARTHUR LEE II (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:LEE
Last Name:WILLIAMS
Suffix:II
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 1:1936 BRUCE B DOWNS BLVD # 309
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-9262
Mailing Address - Country:US
Mailing Address - Phone:407-343-0542
Mailing Address - Fax:407-343-0553
Practice Address - Street 1:339 CYPRESS PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3302
Practice Address - Country:US
Practice Address - Phone:407-343-0542
Practice Address - Fax:407-343-0553
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2015-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD33903207P00000X
FLME107960207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12763916OtherCAQH
FL002754400Medicaid
FL12763916OtherCAQH