Monte Revell Willis
Monte Revell Willis is a Physician Assistant in Panama City, Florida. Qualified in 2024, 2 years ago. Practices with Dermatology Associates of Tallahassee PA, a 39-clinician group, works from 2 locations and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2024
Practice location Address checks out
425 W 19th St Ste D&ePanama City, FL 32405-4659
Phone: (850) 818-0220
Fax: (850) 818-0156
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1704 Riggins Rd, Tallahassee, FL 32308-5318 — (850) 877-4134
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1780425892 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 3, 2024 |
| Last updated in NPPES | May 27, 2026 |
| Certification date | May 27, 2026 |
| Mailing address | Po Box 13834, Tallahassee, FL 32317-3834 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Dermatology Associates Of Tallahassee Pa — 39 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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