Provider Demographics
NPI:1740493592
Name:MCPHERSON, WILLIAM S (RT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:MCPHERSON
Suffix:
Gender:M
Credentials:RT
Other - Prefix:
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Mailing Address - Street 1:1106 TEAL LN
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-5149
Mailing Address - Country:US
Mailing Address - Phone:352-326-9638
Mailing Address - Fax:352-326-9683
Practice Address - Street 1:340 W OAK TERRACE DR
Practice Address - Street 2:SUITE 107
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-4457
Practice Address - Country:US
Practice Address - Phone:352-326-9638
Practice Address - Fax:352-326-9683
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLTT00092332278P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Diagnostics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLTT0009233OtherFLA RESPIRATORY LICENSE