Provider Demographics
NPI:1720675937
Name:AUSTIN LEE WILLIAMS MEDICAL BILLING
Entity Type:Organization
Organization Name:AUSTIN LEE WILLIAMS MEDICAL BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:MR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-713-4609
Mailing Address - Street 1:4908 BELL RIDGE LANE
Mailing Address - Street 2:APT 104
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571
Mailing Address - Country:US
Mailing Address - Phone:850-783-0289
Mailing Address - Fax:
Practice Address - Street 1:4908 BELL RIDGE LANE
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-3257
Practice Address - Country:US
Practice Address - Phone:850-783-0289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization