| David Willis Do Pa | |
|
919 Leather Fern Lane Mims FL 32754 | |
| (407) 421-3599 | |
| Not Available |
| Full Name | David Willis Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 919 Leather Fern Lane, Mims, Florida |
| Authorized Official Name and Position | David Willis (OWNER) |
| Authorized Official Contact | 4074213599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Willis Do Pa 919 Leather Fern Lane Mims FL 32754 Ph: (407) 421-3599 | David Willis Do Pa 919 Leather Fern Lane Mims FL 32754 Ph: (407) 421-3599 |
| NPI Number | 1932310679 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932310679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9622 (Florida) | Primary |