Willis, Randy David

Willis, Randy David is an individual health care provider with primary practice located at 19015 U.S. Highway 441 , Mt. Dora FL 32757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willis, Randy David can be contacted via phone (352) 383-6479.

Contact Information

Primary practice address
19015 U.S. Highway 441 Mt. Dora FL 32757
Phone: (352) 383-6479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9622 Florida

Profile Details

NPI number 1689885550
LBN Legal business name Willis, Randy David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Mar 31st, 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.

Request for update

Popular Providers