Basic Information
| Provider Information | |||||||||
| NPI: | 1508941576 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MARIE L WILLIAMS DPM PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21000 NE 28TH AVE | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | AVENTURA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331801421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059329232 | ||||||||
| FaxNumber: | 3059321421 | ||||||||
| Practice Location | |||||||||
| Address1: | 21000 NE 28TH AVE | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | AVENTURA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331801421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059329232 | ||||||||
| FaxNumber: | 3059321421 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2006 | ||||||||
| LastUpdateDate: | 02/21/2008 | ||||||||
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| AuthorizedOfficialLastName: | MADIGAN | ||||||||
| AuthorizedOfficialFirstName: | JOANN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3059329232 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.