Individual
DR. ROBERT ALLAN WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
600 S ORLANDO AVE, SUITE 300, MAITLAND, FL 32751-5660
(407) 647-2020
(407) 628-1216
Mailing address
600 S ORLANDO AVE, SUITE 300, MAITLAND, FL 32751-5660
(407) 647-2020
(407) 628-1216
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19256
BCBS
FL
Enumeration date
12/06/2005
Last updated
06/28/2011
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