What is Justin Willis's NPI number?

Justin Willis's National Provider Identifier (NPI) is 1619420536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Justin Willis's specialty?

Justin Willis is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).

Where is Justin Willis located?

Justin Willis's practice location on file with NPPES is 8353 Iris Ave, Seminole, FL 33777-3643.

What is Justin Willis's phone number?

The practice phone number listed in the NPPES registry for Justin Willis is (727) 288-4516.

Is Justin Willis's NPI active?

Yes — Justin Willis's NPI (1619420536) is active in the NPPES registry as of the last update on 2016-07-27.

IndividualActive

Justin Willis, IDC

NPI 1619420536 · Independent Duty Corpsman · Seminole, FL

Justin Willis, IDC is a Independent Duty Corpsman provider in Seminole, FL (NPI 1619420536).

Provider details

NPI number: 1619420536
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: Yes
License: W4204214450 (FL)

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002XLicense W4204214450 (FL)
Other Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

8353 Iris Ave

Seminole, FL 33777-3643

Phone: (727) 288-4516

Street-level locationGet directions

More FL providers

Mailing address