Individual
DR. DAVID WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19821 WETHERBY LN, LUTZ, FL 33549-9329
(813) 388-9367
(813) 388-9367
Mailing address
19821 WETHERBY LN, LUTZ, FL 33549-9329
(813) 388-9367
(813) 388-9367
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 55428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063085300
—
FL
01
—
10284
BCBS
FL
Enumeration date
05/18/2006
Last updated
04/07/2014
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