Willingham, Darrin Lamar

Willingham, Darrin Lamar is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Willingham, Darrin Lamar can be contacted via phone (904) 953-2000.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME77716 Florida

Profile Details

NPI number 1952390676
LBN Legal business name Willingham, Darrin Lamar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2005
Last updated Nov 6th, 2012 - about 14 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 1952390676 NPPES
Florida Other 46258 BLUECROSS/BLUESHIELD
Florida Other 020052997 BLUECROSS/BLUESHIELD
Florida MEDICAID 264675700 BLUECROSS/BLUESHIELD

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