Havron, William Samuel

Havron, William Samuel is an sole proprietor health care provider with primary practice located at 77 W Underwood St Ste 200, Orlando FL 32806-1122. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Havron, William Samuel can be contacted via phone (407) 649-6884.

Contact Information

Primary practice address
77 W Underwood St Ste 200 Orlando FL 32806-1122
Phone: (407) 649-6884
Fax: (407) 245-7059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME121404 Florida

Profile Details

NPI number 1053522052
LBN Legal business name Havron, William Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Nov 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053522052 NPPES
Florida Other ME121404 MEDICAL LICENSE
Florida MEDICAID 013634100 MEDICAL LICENSE

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