Individual provider · Type 1 NPI

Monte Revell Willis

Physician Assistant · Panama City, FL

NPI number 1780425892 Active

Practice location

425 W 19th St Ste D&e
Panama City, FL 32405-4659

Call (850) 818-0220 Map

Fax (850) 818-0156

Mailing address

PO Box 13834
Tallahassee, FL 32317-3834

Other practice locations

1704 Riggins Rd, Tallahassee, FL 32308-5318 · (850) 877-4134

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780425892

Monte Revell Willis's National Provider Identifier is 1780425892, issued on Jun 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Panama City, FL. The record was last updated on May 27, 2026.