DR. DAVID WILLIAMS (NPI# 1760484034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760484034 |
| Entity Type | Individual |
| Full Name | DR. DAVID WILLIAMS |
| Credential | DO |
| Practice Address |
490 Centre Lake Dr Ne Suite 200 Palm Bay FL 32907-1113 |
| Mailing Address |
725 S Tropical Trl Merritt Island FL 32952-4952 |
| Practice Telephone | 8004768646 |
| Practice Fax Number | 9193823210 |
| Mailing Telephone | 3218907052 |
| Mailing Fax Number | 3214547494 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS6588 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP # 45368 | 57352 | 01 |
| FL | BCBS GROUP # 34457 | 57352 | 01 |
| FL | 379858500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1336706530 | David Williams | Specialist/Technologist | 201 Brookside Ave Unit 744, Redlands, CA 92373-2530 | 2019-05-22 |
| 1891284931 | David Justin Williams | Pharmacist | 1329 Us Highway 395 N Ste 1, Gardnerville, NV 89410-5391 | 2018-05-03 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1255850491 | David Williams | Social Worker | 314 N Last Chance Gulch Ste 204, Helena, MT 59601-5012 | 2017-09-19 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1457885733 | David K Williams | Counselor | 335 E Wood St, Suite B, Decatur, IL 62523-1285 | 2017-04-13 |
| 1548631922 | David Andrew Williams | Nurse Practitioner | 663 Forest Ave, Pittsburgh, PA 15202-2925 | 2015-10-12 |
| 1689042764 | David R Williams IIi | Physical Therapy Assistant | 2801 Purcell Pl, Glen Allen, VA 23060-4492 | 2015-09-08 |
| Street Address |
490 CENTRE LAKE DR NE SUITE 200 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750903902 | John J Roberts | Hearing Instrument Specialist | 490 Centre Lake Dr Ne, Suite 150, Palm Bay, FL 32907 | 2020-05-11 |
| 1366710170 | Medfast Urgent Care Centers, LLC | Clinic/Center | 490 Centre Lake Dr Ne, Palm Bay, FL 32907-1113 | 2011-12-07 |
| 1023252368 | Shannon Patricia Green | Counselor | 490 Centre Lake Dr Ne, Suite 150, Palm Bay, FL 32907-1113 | 2009-04-30 |
| 1073639456 | Nomara Jeanne Buck | Physical Therapy Assistant | 490 Centre Lake Dr Ne, Suite 100, Palm Bay, FL 32907-1189 | 2007-03-21 |
| 1447341821 | Shawn Wilson | Physical Therapy Assistant | 490 Centre Lake Dr Ne, Palm Bay, FL 32907-1189 | 2006-09-28 |
| 1316915184 | Renew Therapy Center of Palm Bay, LLC | Clinic/Center | 490 Centre Lake Dr Ne, Suite 100, Palm Bay, FL 32907-1189 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831133636 | Howard Gershman | Emergency Medicine | 2050 Thornwood Dr Se, Palm Bay, FL 32909-2325 | 2006-06-15 |
| 1144207366 | John Koehler | Emergency Medicine | 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 | 2005-12-29 |
| 1356421366 | Anthony Tucker | Emergency Medicine | 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443965 | Baptist Hospital Inc | Emergency Medicine | 8888 Navarre Pkwy Ste 106, Navarre, FL 32566-3616 | 2020-10-07 |
| 1356958631 | Fg Rapid Results, LLC | Emergency Medicine | 115 Nw 167th St Ste 101, North Miami Beach, FL 33169-6052 | 2020-09-30 |
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1083233746 | Shaina Jerome | Emergency Medicine | 21175 Via Eden, Boca Raton, FL 33433-2209 | 2020-04-13 |
| 1003454430 | South Florida Urgent Care Centers, LLC | Emergency Medicine | 1855 N Corporate Lakes Blvd Ste 2, Weston, FL 33326-3274 | 2019-12-17 |
| 1649814054 | Emergency Medicine Professionals Pa | Emergency Medicine | 3120 Howland Blvd, Deltona, FL 32725-2905 | 2019-10-30 |
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
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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.