Willis, Melania J

Willis, Melania J is an individual health care provider with primary practice located at 701 Ohio Ave S , Live Oak FL 32064-3816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Willis, Melania J can be contacted via phone (386) 330-5248.

Contact Information

Primary practice address
701 Ohio Ave S Live Oak FL 32064-3816
Phone: (386) 330-5248
Fax: (386) 208-1380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2734962 Florida

Profile Details

NPI number 1013927995
LBN Legal business name Willis, Melania J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 19 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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