Willis, Randy David
Willis, Randy David is an individual health care provider with primary practice located at 19015 U.S. Highway 441 , Mt. Dora FL 32757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willis, Randy David can be contacted via phone (352) 383-6479.Contact Information
Primary practice address
19015 U.S. Highway 441
Mt. Dora FL 32757
Phone: (352) 383-6479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS9622 | Florida |
Profile Details
| NPI number | 1689885550 |
|---|---|
| LBN Legal business name | Willis, Randy David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Mar 31st, 2016 - about 10 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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