Individual
JAMES ALTON WILLOBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
5073 SOUNDSIDE DR, GULF BREEZE, FL 32563-8921
(850) 686-3943
Mailing address
5073 SOUNDSIDE DR, GULF BREEZE, FL 32563-8921
(850) 916-2979
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1059
FL
Other
Enumeration date
05/30/2009
Last updated
09/08/2009
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