Willis, Scott

Willis, Scott is an sole proprietor health care provider with primary practice located at 5301 S Congress Ave , Atlantis FL 33462-1149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Willis, Scott can be contacted via phone (561) 965-7300.

Contact Information

Primary practice address
5301 S Congress Ave Atlantis FL 33462-1149
Phone: (561) 965-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-12318 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME 87703 Florida

Profile Details

NPI number 1679523997
LBN Legal business name Willis, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jun 11th, 2023 - about 2 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 1679523997 NPPES
Florida Other 37295 BLUE CROSS BLUE SHIELD
Florida MEDICAID 268162500 BLUE CROSS BLUE SHIELD

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