Provider Demographics
NPI:1144275363
Name:MEADOWS, WILLIAM F III (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:MEADOWS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5416 TOWN N COUNTRY BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4120
Mailing Address - Country:US
Mailing Address - Phone:813-549-3800
Mailing Address - Fax:813-549-3811
Practice Address - Street 1:5416 TOWN N COUNTRY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4120
Practice Address - Country:US
Practice Address - Phone:813-549-3800
Practice Address - Fax:813-549-3811
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48854208VP0000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041833101Medicaid
FL30921OtherBCBS OF FLORIDA
FL30921FMedicare PIN
D54173Medicare UPIN
P00386594Medicare PIN
FL30921LMedicare PIN
FL30921JMedicare PIN