Dr. Willie James Humphrey
Dental Public Health
Brevard County Health Department 2575 N Courtney Pkwy
Merritt Island
, Florida 32953
Dr. Willie James Humphrey
Dental Public Health
Brevard County Health Department 2575 N Courtney Pkwy
Merritt Island
, Florida 32953
(321) 449-5015
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Willie James Humphrey
- Brevard County Health Department 2575 N Courtney Pkwy
- Merritt Island, FL
- Zip : 32953
- Fax : (321) 449-5015
- Phone : (321) 454-7148
Second Address
- Dr. Willie James Humphrey
- Brevard County Health Department 2575 N Courtney Pkwy
- Merritt Island, FL
- Zip : 32953
- Fax : (321) 449-5015
- Phone : (321) 454-7148
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DN0009634 | FL |
National Provider Identifier
| NPI | 1225190184 |
|---|---|
| Provider Name | Dr. Willie James Humphrey |
| First Address | Merritt Island, FL 32953 |
| Second Address | Merritt Island, FL 32953 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2006 |
| Last Update Date | 12/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 077730700 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.