IndividualActive
Randy Willis, DO
NPI 1689885550 · Family Medicine Physician · Mt. Dora, FL
Randy Willis, DO is a Family Medicine Physician provider in Mt. Dora, FL (NPI 1689885550).
Provider details
- NPI number
- 1689885550
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS9622 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
19015 U.S. Highway 441
Mt. Dora, FL 32757
Phone: (352) 383-6479
Street-level locationGet directions
Mailing address
11550 University Blvd
Orlando, FL 32817-2100
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2016-03-31
Frequently asked questions
- What is Randy Willis's NPI number?
- Randy Willis's National Provider Identifier (NPI) is 1689885550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randy Willis's specialty?
- Randy Willis is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Randy Willis located?
- Randy Willis's practice location on file with NPPES is 19015 U.S. Highway 441, Mt. Dora, FL 32757.
- What is Randy Willis's phone number?
- The practice phone number listed in the NPPES registry for Randy Willis is (352) 383-6479.
- Is Randy Willis's NPI active?
- Yes — Randy Willis's NPI (1689885550) is active in the NPPES registry as of the last update on 2016-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.