PETER B WILLIAMS DPM CWS PA
Podiatry at Us Highway 19, Port Richey, FL

License number
Florida FLPO0002239
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. PETER B WILLIAMS DPM
Title: PRESIDENT/OWNER
Phone: (727) 869-9191
Address
Address
10148 Us Highway 19, Port Richey, FL 34668
National Provider ID: 1154428357
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER B WILLIAMS DPM CWS PA

Port Richey, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
May 12, 2011
Inactive since:
May 15, 2013
Addresses:
10148 Us Hwy 19, Port Richey, FL 34668 (Physical)
Port Richey, FL 34673 (Mailing)
PO Box 1084, Port Richey, FL 34673
State ID:
P11000045427
Business type:
Florida Profit Corporation
President:
Peter Williams (President), 10148 Us Hwy 19, Port Richey, FL 34668 (Physical)
Agent:
Williams, Peter,10148 Us Hwy 19, Port Richey, FL 34668 (Physical)
EIN:
51-0505800

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