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RANDY DAVID WILLIS DO
NPI 1689885550
Family Medicine in Mt. Dora, FL

Active since May 24, 2007
19015 U.S. HIGHWAY 441, MT. DORA, FL 32757(352) 383-6479 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randy David Willis Do NPPES

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

RANDY DAVID WILLIS DO (NPI 1689885550) is an individual family medicine provider in Mt. Dora, Florida, licensed in Florida (OS9622) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1689885550
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDY DAVID WILLISCredential: DO
Location Address19015 U.S. HIGHWAY 441Mt. Dora, FL 32757
Mailing Address11550 University BlvdOrlando, FL 32817-2100 · (407) 384-0080 · Fax (407) 384-0078
Phone(352) 383-6479
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateMarch 31, 2016
✔ NPI 1689885550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS9622
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19015 U.S. HIGHWAY 441, Mt. Dora, FL 32757
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Clinic/Center (Urgent Care)
19015 U.S. HIGHWAY 441
MOUNT DORA, FL 32757
Orange County (352) 383-3484

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 Randy Willis's NPI number?

The NPI number for Randy Willis is 1689885550. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Randy Willis located?

Randy Willis practices at 19015 U.S. Highway 441, Mt. Dora, FL 32757. The listed phone number is (352) 383-6479.

What is Randy Willis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Randy Willis was last updated on March 31, 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.