Provider Demographics
NPI:1912100686
Name:WILLIAMS, CARL FREDERICK (RCIS)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:FREDERICK
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:RCIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7350 SOUTH TAMIAMI TRAIL #2
Mailing Address - Street 2:PMB 239
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231
Mailing Address - Country:US
Mailing Address - Phone:941-780-3623
Mailing Address - Fax:
Practice Address - Street 1:7350 S TAMIAMI TRL # 2
Practice Address - Street 2:PMB 239
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-7004
Practice Address - Country:US
Practice Address - Phone:941-780-3623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularCardiovascular Invasive Specialist