Willis, Michael

Willis, Michael is an individual health care provider with primary practice located at 1051 Hickory St , Melbourne FL 32901-1962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Willis, Michael can be contacted via phone (321) 784-3700.

Contact Information

Primary practice address
1051 Hickory St Melbourne FL 32901-1962
Phone: (321) 784-3700
Fax: (321) 784-4090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME60656 Florida

Profile Details

NPI number 1194888776
LBN Legal business name Willis, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jun 5th, 2008 - about 18 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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