JUSTIN ALLAN WILLIS IDC
NPI 1619420536
Military Health Care Provider - Independent Duty Corpsman in Seminole, FL

Q: What is Justin Willis's NPI number?

The NPI number for Justin Willis is 1619420536. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Q: What is Justin Willis's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Justin Willis was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2016

8353 IRIS AVE, SEMINOLE, FL 33777(727) 288-4516 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Justin Allan Willis Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN ALLAN WILLIS IDC (NPI 1619420536) is an individual independent duty corpsman provider in Seminole, Florida, licensed in Florida (W4204214450) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1619420536

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJUSTIN ALLAN WILLISCredential: IDC

Location Address8353 IRIS AVESeminole, FL 33777-3643

Mailing Address8353 Iris AveSeminole, FL 33777-3643

Phone(727) 288-4516

Sole ProprietorYes

Enumeration DateJuly 27, 2016

✔ NPI 1619420536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

License✔ Licensed in FL · W4204214450

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

8353 IRIS AVE, Seminole, FL 33777

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Willis's NPI number?

The NPI number for Justin Willis is 1619420536. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Where is Justin Willis located?

Justin Willis practices at 8353 Iris Ave, Seminole, FL 33777. The listed phone number is (727) 288-4516.

What is Justin Willis's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Justin Willis was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.