Organization
WAYNE S. WILLIS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA HUGHES (OFFICE MANAGER)
(850) 438-9755
Entity
Organization
Contact information
Practice address
3111 PEGGY BOND DR, PENSACOLA, FL 32504-5018
(850) 438-9755
(850) 438-0699
Mailing address
3111 PEGGY BOND DR, PENSACOLA, FL 32504-5018
(850) 438-9755
(850) 438-0699
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25944
FL
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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