Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN ALLAN WILLIS, IDC
Active Sole ProprietorJUSTIN ALLAN WILLIS, IDC is a Independent Duty Corpsman healthcare provider located in SEMINOLE, Florida. NPI 1619420536 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · SEMINOLE, FL
Registration Details
- NPI Number
- 1619420536
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2016 (10.024473385514 yrs)
- Last Updated
- Jul 27, 2016
- License
-
W4204214450 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8353 IRIS AVESEMINOLE, FL, 337773643Browse FL providers · Browse ZIP 33777
- Phone
- 7272884516
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in SEMINOLE, FL
| Name | Credential | NPI |
|---|---|---|
| MICHAEL O'CONNELL | — | 1831729821 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.