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Organization
DAVID WILLIS DO PA
Active
Organization
DAVID WILLIS DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIS D.O. (OWNER)
(407) 421-3599
Entity
Organization
Contact information
Practice address
919 LEATHER FERN LANE, MIMS, FL 32754
(407) 421-3599
Mailing address
919 LEATHER FERN LANE, MIMS, FL 32754
(407) 421-3599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS9622
FL
Other
Enumeration date
05/24/2007
Last updated
09/16/2008
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