Organization
IRVIN H WILLIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVIN H WILLIS MD (OWNER)
(305) 534-6050
Entity
Organization
Contact information
Practice address
4302 ALTON RD, SUITE 630, MIAMI BEACH, FL 33140-2891
(305) 534-6050
(305) 534-7806
Mailing address
4302 ALTON RD, SUITE 630, MIAMI BEACH, FL 33140-2891
(305) 534-6050
(305) 534-7806
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME12189
FL
Other
Enumeration date
08/28/2010
Last updated
08/28/2010
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