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WW EYECAR & SURGERY LLC NPI 1073926366


NPI Information

NPI: 1073926366
Provider Name: WW EYECAR & SURGERY LLC

Doing Business As: NANCY E. WILLIAMS-WALLACE MD

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
32615 US HIGHWAY 19 N STE 6
PALM HARBOR, FL
ZIP 34684
Phone: (727) 772-7712
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WW EYECAR & SURGERY LLC is a specialist in Palm Harbor, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WW EYECAR & SURGERY LLC NPI is 1073926366. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nancy E. Williams-wallace Md.

The provider's business location address is:

32615 US HIGHWAY 19 N STE 6
PALM HARBOR, FL
ZIP 34684-176
Phone: (727) 772-7712
Fax: (727) 772-6891

The provider's authorized official is Nancy E Williams-wallace .
The authorized official title is President and has the following contact phone number (727) 772-7712.

The enumeration date for this NPI number is 6/4/2014 and was last updated on 6/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME69004FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1378657900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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