Individual
DR. DARRIN LAMAR WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME77716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020052997
RAILROAD MEDICARE
FL
05
—
264675700
—
FL
01
—
46258
BLUECROSS/BLUESHIELD
FL
Enumeration date
10/15/2005
Last updated
11/06/2012
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