Individual
TODD S WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 19, TAMPA, FL 33612-4742
(813) 844-4103
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME84242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265558600
—
FL
01
—
62713
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/11/2006
Last updated
03/30/2021
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