Randy David Willis, DO

NPI #1689885550 in Mt. Dora, Florida

Provider Information

NPI Number: 1689885550
Entity Type: Individual
Name: Randy David Willis, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 24, 2007
Last Updated: Mar 31, 2016

Practice Location

Address: 19015 U.S. HIGHWAY 441
City: Mt. Dora
State: Florida
ZIP Code: 32757
Phone: (352) 383-6479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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