Active NPI
Dave Williams
- Specialist
- Lehigh Acres, FL
National Provider Identifier
1144496969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 18692
- Practice address
- 2718 Lee Blvd
Ste C
Lehigh Acres, FL 33936-1537 - Phone
- (239) 303-1501
- Fax
- (239) 303-9297
- NPI assigned
- May 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT 18692 | FL | Primary |
Addresses
Primary practice location
2718 Lee Blvd
Ste C
Lehigh Acres, FL 33936-1537
Mailing address
PO Box 1199
Lehigh Acres, FL 33970-1199
Phone (239) 303-1501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 18692 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1144496969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1199",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339701199",
"telephone_number": "239-303-1501",
"fax_number": "239-303-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2718 LEE BLVD",
"address_2": "STE C",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339361537",
"telephone_number": "239-303-1501",
"fax_number": "239-303-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DAVE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PT 18692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.