William Samuel Havron in Orlando - Student In An Organized Health Care Education/training Program

William Samuel Havron - NPI 1053522052

William Samuel Havron is a Student In An Organized Health Care Education/training Program in Orlando, Florida. William Samuel Havron practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for William Samuel Havron is 1053522052. The last update date is 2016-11-15.

William Samuel Havron's current location address is 77 W Underwood St, Orlando, Florida. You can contact this provider via phone number 4076496884 and fax number 4072457059. The mailing address for William Samuel Havron is 77 W Underwood St, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name William Samuel Havron
Address 77 W Underwood St, Orlando, Florida
Phone Number 4076496884
Fax Number 4072457059
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1053522052
Provider Enumeration Date 2007-05-24
Last Updated Date 2016-11-15

Provider Mailing Address Detail

Address 77 W Underwood St
City Orlando
State Florida (FL)
Post Code 328061122
Phone Number 4076496884
Fax Number 4072457059

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ME121404 FL MEDICAL LICENSE
13634100 FL --

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FAQs about William Samuel Havron

What is the William Samuel Havron's 1053522052?

The William Samuel Havron's NPI (National Provider Identifier) Number is 1053522052. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of William Samuel Havron?

The William Samuel Havron is situated at 77 W Underwood St, in the city of Orlando, state of FL, with the zip code 328061122.

What is William Samuel Havron's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The William Samuel Havron's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1053522052 to William Samuel Havron?

The William Samuel Havron received its 1053522052 assignment from the Centers for Medicare & Medicaid Services on 2007-05-24.

As of what date were the details related to William Samuel Havron most recently updated or revised?

The information pertaining to William Samuel Havron, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-15.

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