Individual
DR. IRVIN WILLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4302 ALTON RD, SUITE 630, MIAMI BEACH, FL 33140-2891
(305) 534-6050
Mailing address
4302 ALTON RD, SUITE 630, MIAMI BEACH, FL 33140-2891
(305) 534-6050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME12189
FL
Other
Enumeration date
08/22/2005
Last updated
07/08/2007
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