Individual
JAMES L. WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1741 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 742-8836
(352) 742-8829
Mailing address
1741 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 742-8836
(352) 742-8829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS8915
FL
208M00000X
Hospitalist Physician
Primary
OS8915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268324500
—
FL
Enumeration date
08/02/2005
Last updated
08/22/2016
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