Williams, Shane

Williams, Shane is an individual health care provider with primary practice located at 1750 Ne 167Th St Fl 33162 , North Miami Beach FL 33162-3017. 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 / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Williams, Shane can be contacted via phone (954) 262-4100.

Contact Information

Primary practice address
1750 Ne 167Th St Fl 33162 North Miami Beach FL 33162-3017
Phone: (954) 262-4100
Fax: (954) 262-3993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS15176 Florida

Profile Details

NPI number 1346629037
LBN Legal business name Williams, Shane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2015
Last updated Mar 31st, 2021 - about 5 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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