LAUREN ELISE MOAK WILLIAMS (NPI# 1073990503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073990503 |
| Entity Type | Individual |
| Full Name | LAUREN ELISE MOAK WILLIAMS |
| Other Name | LAUREN ELISE CALLAHAN MOAK |
| Credential | MD |
| Practice Address |
220 Barton Blvd Unit C-14 Rockledge FL 32955-2742 |
| Mailing Address |
Po Box 1137 Melbourne FL 32902-1137 |
| Practice Telephone | 3216395177 |
| Practice Fax Number | 3216394927 |
| Mailing Telephone | 3219529696 |
| Mailing Fax Number | 3219527937 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME143008 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 60960 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106029300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1020 W Broadway Ave, Minneapolis, MN 554112504 | 6123028200 |
| Street Address |
220 BARTON BLVD UNIT C-14 |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023138997 | Alison Wolff Singer | Nurse Practitioner | 220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 | 2007-04-02 |
| 1104452655 | Keith Sebastian Gelzinis | Pharmacist | 220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 | 2020-03-17 |
| 1174022354 | Vanessa Solomon | Nurse Practitioner | 220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 | 2018-02-02 |
| 1427437664 | Porsha Butler | Pediatrics | 220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 | 2015-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427113349 | Charles Martin Bolno | Family Medicine | 404b Huntingdon Pike, Rockledge, PA 19046-4448 | 2006-12-22 |
| 1518038447 | James A Aurand | Family Medicine | 3140 Suntree Blvd, Suite 5, Rockledge, FL 32955-5789 | 2006-11-13 |
| 1134146046 | Brevard Family Walk In Clinic LLC | Family Medicine | 1260 Us Highway 1, Rockledge, FL 32955-2728 | 2006-07-16 |
| 1073550950 | Jasen S Kobobel | Family Medicine | 1950 Rockledge Blvd Ste 101, Rockledge, FL 32955-2728 | 2006-06-01 |
| 1487602082 | Francis Afutu Ashie | Family Medicine | 1007 Beverly Dr, Suite C, Rockledge, FL 32955-2833 | 2006-05-05 |
| 1750339230 | Erich A Arias | Family Medicine | 1300 Florida Ave S, Rockledge, FL 32955-2482 | 2006-05-05 |
| 1245290840 | Vincent Sciortino | Family Medicine | 840 Executive Ln Ste 110, Rockledge, FL 32955-3519 | 2006-03-27 |
| 1144289620 | Khaled A Mohamed | Family Medicine | 220 Barton Blvd, Unit C#14, Rockledge, FL 32955-2742 | 2006-03-22 |
| 1558852715 | Brevard Integrated Health Center LLC | Family Medicine | 1211 Admiralty Blvd, Rockledge, FL 32955-5201 | 2018-05-23 |
| 1750626495 | Health First Medical Group, LLC | Family Medicine | 6450 Us Highway 1, Rockledge, FL 32955 | 2012-12-06 |
| Find all providers in ROCKLEDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.