Wayne S Willis Md Llc

LBN: Wayne S Willis Md Llc
Wayne S Willis Md Llc is an health care organization with primary practice located at 3111 Peggy Bond Dr , Pensacola FL 32504-5018. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wayne S Willis Md Llc can be contacted via phone (850) 438-9755, or through Willis, Wayne S. via phone (850) 438-9755.

Contact Information

Primary practice address
3111 Peggy Bond Dr Pensacola FL 32504-5018
Phone: (850) 438-9755
Fax: (850) 438-0699
Website:
Map and Directions
Authorized official contact:
Name: Willis, Wayne S. Doctor of Medicine (MD)
Phone: (850) 438-9755

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1528039021
LBN Legal business name Wayne S Willis Md Llc
DBA Doing business as
Authorized official Willis, Wayne S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 5th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528039021 NPPES
Florida MEDICAID 274727800
Florida Other 98793

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