Active NPIIndividual providerSole proprietor

Dr. William J Dickerson II, MD

Internal Medicine, Gastroenterology in Plantation, Florida

NPI Number1861448607
Practice location
4302 W Broward Blvd, Suite 200, Plantation, FL 33317-3780
Fax
954-771-9911
Last updated
February 18, 2010

William John Dickerson is an Internal Medicine, Gastroenterology based in Plantation, FL. William John Dickerson practices in Plantation, FL and has the professional credentials of MD. The NPI Number for William John Dickerson is 1861448607 and holds a License No. ME64924 (FL). The current practice location address for William John Dickerson is 4302 W Broward Blvd, Suite 200, Plantation, FL 33317-3780 and can be reached out via phone at 954-771-3433 and via fax at 954-771-9911.

Provider Profile Details

NPI Number
1861448607
Provider Name
William John Dickerson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4302 W Broward Blvd, Suite 200, Plantation, FL 33317-3780
Phone Number
954-771-3433
Fax Number
954-771-9911
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
Yes
Provider Enumeration Date
May 25, 2006
Last Update Date
February 18, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
4302 W Broward Blvd
Suite 200
Plantation, FL 33317-3780
State
Florida
Zip
33317-3780
Phone Number
954-771-3433
Fax Number
954-771-9911
Plantation, FL 33317Get directions →

Provider Business Mailing Address Details

Address
1 Edward St
Canton, MA 02021-2303
City
Canton
State
MA
Zip
02021-2303
Phone Number
781-828-3533
Fax Number
781-828-2471

License Information

License Number
ME64924
License State
FL
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. William J Dickerson II, MD?

The NPI number of Dr. William J Dickerson II, MD is 1861448607. It was assigned on May 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. William J Dickerson II, MD?

Dr. William J Dickerson II, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in FL under license number ME64924.

Where does Dr. William J Dickerson II, MD practice?

The practice location is 4302 W Broward Blvd, Suite 200, Plantation, FL 33317-3780. The office can be reached at 954-771-3433 (phone) or 954-771-9911 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861448607 directly on the NPPES registry website.

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