Most Relevant Information
Provider Data
| NPI Number: | 1003415324 |
| Provider Name: | WILLIAM PHILIP WILLIS D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | CH13251 |
Most Important Dates
| Enumeration Date: | 10/19/2020 |
| Last Updated: | 10/19/2020 |
Provider Practice Location
1413 KINGSLEY AVE
ORANGE PARK
FL
320734527
Practice Location Phone/Fax
| Phone: | 9042643966 |
| Fax: | 9042787171 |
Provider Mailing Location
1413 KINGSLEY AVE
ORANGE PARK
FL
320734527
Provider Mailing Phone/Fax
| Phone: | 9042643966 |
| Fax: | 9042787171 |