Willey, David
Willey, David is an sole proprietor health care provider with primary practice located at 19821 Wetherby Ln , Lutz FL 33549-9329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Willey, David can be contacted via phone (813) 388-9367.Contact Information
Primary practice address
19821 Wetherby Ln
Lutz FL 33549-9329
Phone: (813) 388-9367
Fax: (813) 388-9367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME 55428 | Florida |
Profile Details
| NPI number | 1720031107 |
|---|---|
| LBN Legal business name | Willey, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Apr 7th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720031107 | NPPES |
| Florida | MEDICAID | 063085300 | |
| Florida | Other | 10284 |
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