Most Relevant Information
Provider Data
| NPI Number: | 1003425919 |
| Provider Name: | AUSTIN LEE WILLIAMS CAC/OSTEO MD-STUDENT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/27/2020 |
| Last Updated: | 09/15/2020 |
Provider Practice Location
1398 SW 160TH
SUNRISE
FL
33326
Practice Location Phone/Fax
| Phone: | 9542908446 |
| Fax: |
Provider Mailing Location
7748 RUSTLING PINES DR
MILTON
FL
325833007
Provider Mailing Phone/Fax
| Phone: | 8504070607 |
| Fax: |