Willis, Irvin

Willis, Irvin is an individual health care provider with primary practice located at 4302 Alton Rd Suite 630, Miami Beach FL 33140-2891. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Willis, Irvin can be contacted via phone (305) 534-6050.

Contact Information

Primary practice address
4302 Alton Rd Suite 630 Miami Beach FL 33140-2891
Phone: (305) 534-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME12189 Florida

Profile Details

NPI number 1780676171
LBN Legal business name Willis, Irvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 8th, 2007 - about 17 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.

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