Mayfield, William Ross
Mayfield, William Ross is an sole proprietor health care provider with primary practice located at 201 N Clyde Morris Blvd Suite 120, Daytona Beach FL 32114-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Mayfield, William Ross can be contacted via phone (386) 254-4029.Contact Information
Primary practice address
201 N Clyde Morris Blvd Suite 120
Daytona Beach FL 32114-2724
Phone: (386) 254-4029
Fax: (386) 254-4274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME0063660 | Florida |
Profile Details
| NPI number | 1578627568 |
|---|---|
| LBN Legal business name | Mayfield, William Ross |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578627568 | NPPES |
| Florida | Other | 18828 | BLUE SHIELD |
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