Provider Demographics
NPI:1982698668
Name:FLEMING, WILLIAM CHRISTOPHER (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHRISTOPHER
Last Name:FLEMING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 SW 33RD RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7458
Mailing Address - Country:US
Mailing Address - Phone:352-873-3332
Mailing Address - Fax:352-873-0722
Practice Address - Street 1:3300 SW 33RD RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7458
Practice Address - Country:US
Practice Address - Phone:352-873-3332
Practice Address - Fax:352-873-0722
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO0001673213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T55603Medicare UPIN
FL4815380001Medicare NSC
FL87916Medicare ID - Type Unspecified