Willis, James L.

Willis, James L. is an individual health care provider with primary practice located at 1741 David Walker Dr , Tavares FL 32778-5745. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Willis, James L. can be contacted via phone (352) 742-8836.

Contact Information

Primary practice address
1741 David Walker Dr Tavares FL 32778-5745
Phone: (352) 742-8836
Fax: (352) 742-8829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8915 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS8915 Florida

Profile Details

NPI number 1154322915
LBN Legal business name Willis, James L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Aug 22nd, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154322915 NPPES
Florida MEDICAID 268324500

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