DAVID WILLIS DO PA NPI 1932310679

NPI Information

  • NPI: 1932310679
  • Provider Name: DAVID WILLIS DO PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 919 LEATHER FERN LANE
    MIMS, FL
    ZIP 32754
  • Phone: (407) 421-3599

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NPI Details

DAVID WILLIS DO PA is a family medicine in Mims, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DAVID WILLIS DO PA NPI is 1932310679. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

919 LEATHER FERN LANE
MIMS, FL
ZIP 32754
Phone: (407) 421-3599

The provider's authorized official is David Willis .
The authorized official title is Owner and has the following contact phone number (407) 421-3599.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 9/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS9622FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERFLORIDATAX I.D.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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