Provider Demographics
NPI:1649925298
Name:SEE, WILLIAM CATLIN
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CATLIN
Last Name:SEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 DAYDREAM AVE APT 3102
Mailing Address - Street 2:
Mailing Address - City:YULEE
Mailing Address - State:FL
Mailing Address - Zip Code:32097-5457
Mailing Address - Country:US
Mailing Address - Phone:352-572-4697
Mailing Address - Fax:
Practice Address - Street 1:125 DAYDREAM AVE APT 3102
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-5457
Practice Address - Country:US
Practice Address - Phone:352-572-4697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-12
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9499157367500000X
FLAPRN11020098367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered