Active NPI
Sofia Wills, MA
- Speech-Language Pathologist
- Jacksonville, FL
National Provider Identifier
1639067317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ12609
- Practice address
- 1833 Boulevard FL 3
Jacksonville, FL 32206-4382 - Phone
- (954) 593-7476
- NPI assigned
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ12609 | FL | Primary |
Addresses
Primary practice location
1833 Boulevard FL 3
Jacksonville, FL 32206-4382
Mailing address
3800 SW 20TH Ave Apt 101
Gainesville, FL 32607-4391
Phone (954) 593-7476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ12609 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients |
Locations
1833 Boulevard
Fl 3
Jacksonville, FL 32206
Phone (904) 244-3289
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1144276452
-
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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- NPI 1104085752
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1639067317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 SW 20TH AVE APT 101",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326074391",
"telephone_number": "954-593-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 BOULEVARD FL 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064382",
"telephone_number": "954-593-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "SOFIA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ12609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.