William J Namen II D.P.M.

NPI 1063500692 - Podiatrist - 213EP1101X

NPI Details
NPI 1063500692
Gender Male
Enumeration Date 10/10/2006
Last Updated 11/30/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1351 13TH AVENUE SOUTH
SUITE 110
JACKSONVILLE BEACH FL, 32250, US
Phone (904) 636-9197
Fax (904) 636-9282
Business Location
9310 OLD KINGS RD S
SUITE 1201
JACKSONVILLE FL, 32257-6152, US
Phone (904) 636-9197
Fax (904) 636-9282
Toxanomy
Taxonomy Code 213EP1101X
License State Florida
License Number PO2208
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According to our database, William J Namen II D.P.M. NPI is 1063500692, taxonomy code is 213EP1101X and license number is PO2208, license state is located at Florida. William J Namen II D.P.M. physically located at 1351 13th Avenue South, Jacksonville Beach FL, 32250. NPI Number William J Namen II D.P.M. has the Individual type.

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1063500692 NPI number is provided on an as is basis without warranty of any kind. 1063500692 is maintained by the National Plan & Provider Enumeration System. The contents of William J Namen II D.P.M. are for informational purposes only.