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NPI Code Detail

MEDICARE: DR. DAVID LYNN MOBLEY M.D.

MEDICARE: DR. DAVID LYNN MOBLEY 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
1208200000XPlastic Surgery PhysicianME0066996FL

General Provider Information

NPI Number : 1346391562
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID LYNN MOBLEY M.D.
Provider Business Mailing Address
First Line : 2255 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3806
Country : US
Telephone Number : 941-366-8897
Fax Number : 941-366-0518
Provider Business Practice Location Address
First Line : 2255 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3806
Country : US
Telephone Number : 941-366-8897
Fax Number : 941-366-0518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 06/05/2014

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