Individual
MARCUS STEPHEN WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MICCOSUKEE RD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308-5054
(850) 431-0756
(850) 431-0779
Mailing address
1300 MICCOSUKEE ROAD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308
(850) 431-0756
(850) 431-0779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME 87034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266703700
—
FL
01
—
29189
BCBS NUMBER
FL
Enumeration date
07/05/2006
Last updated
07/23/2013
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