Willis, Brandon M

Willis, Brandon M is an individual health care provider with primary practice located at 1700 S 23Rd St , Fort Pierce FL 34950-4803. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Willis, Brandon M can be contacted via phone (772) 468-4554.

Contact Information

Primary practice address
1700 S 23Rd St Fort Pierce FL 34950-4803
Phone: (772) 468-4554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10037 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1336489632
LBN Legal business name Willis, Brandon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2013
Last updated Mar 21st, 2025 - about last year

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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