Provider Demographics
NPI:1528103553
Name:OVERCASH, WILLIAM TODD (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:TODD
Last Name:OVERCASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6035 SW 54TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5519
Mailing Address - Country:US
Mailing Address - Phone:352-671-1830
Mailing Address - Fax:352-433-0220
Practice Address - Street 1:6035 SW 54TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5519
Practice Address - Country:US
Practice Address - Phone:352-671-1830
Practice Address - Fax:352-433-0220
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME56492208600000X, 208D00000X, 208VP0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374619400Medicaid
FL10691ZMedicare PIN
FL374619400Medicaid