| S. Grant Willis, D.c. | |
|
8140 Picton Way Suite 103 Trinity FL 34655-1792 | |
| (727) 753-9788 | |
| (727) 375-9720 |
| Full Name | S. Grant Willis, D.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 8140 Picton Way, Trinity, Florida |
| Authorized Official Name and Position | Steven G Willis (OWNER) |
| Authorized Official Contact | 7277539788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Grant Willis, D.c. 8140 Picton Way Suite 103 Trinity FL 34655-1792 Ph: (727) 753-9788 | S. Grant Willis, D.c. 8140 Picton Way Suite 103 Trinity FL 34655-1792 Ph: (727) 753-9788 |
| NPI Number | 1285958942 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285958942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH9385 (Florida) | Primary |
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