Individual
DR. DAVID CHARLES WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 NE 25TH AVE, OCALA, FL 34470-6321
(352) 732-5211
(352) 732-7145
Mailing address
725 NE 25TH AVE, OCALA, FL 34470-6321
(352) 732-5211
(352) 732-7145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004839500
—
FL
01
—
51789
BLUECROSS NUMBER
FL
Enumeration date
03/12/2007
Last updated
03/25/2024
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