OrganizationActive
David Willis DO PA
NPI 1932310679 · Family Medicine Physician · Mims, FL
Provider details
- NPI number
- 1932310679
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Willis, Owner(407) 421-3599
- License
- OS9622 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
919 Leather Fern Lane
Mims, FL 32754
Phone: (407) 421-3599
Approximate (ZIP-level) locationGet directions
Mailing address
919 Leather Fern Lane
Mims, FL 32754
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2008-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.