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NPI Code Detail

MEDICARE: DR. DAVID J. ESCHELBACHER M.D.

MEDICARE:  DR. DAVID J. ESCHELBACHER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME89859FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00699087OTHERRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1285699645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID J. ESCHELBACHER M.D.
Provider Business Mailing Address
First Line : PO BOX 9155
Second Line :
City : TAMPA
State : FL
Zip : 33674-9155
Country : US
Telephone Number : 813-374-2494
Fax Number : 813-374-2495
Provider Business Practice Location Address
First Line : 2812 N 22ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33605-2762
Country : US
Telephone Number : 813-374-2494
Fax Number : 813-374-2495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/26/2018

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Directions to “ DR. DAVID J. ESCHELBACHER M.D.” Practice Location

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