MEDICARE: DR. DAVID BILLMEIER MD

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
1	207Q00000X	Family Medicine Physician	ME71479	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	45360	OTHER	FL	MEDICARE GROUP#
4	MQ343	OTHER	FL	MEDICARE
5	080164322	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2422845	OTHER	FL	AETNA
3	59-3667262	OTHER	FL	TAX ID#
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407964141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID BILLMEIER MD

Provider Business Mailing Address
First Line	:	1717 N CLYDE MORRIS BLVD STE 120
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5532
Country	:	US
Telephone Number	:	386-777-3721
Fax Number	:	877-325-2429

Provider Business Practice Location Address
First Line	:	1717 N CLYDE MORRIS BLVD STE 120
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5532
Country	:	US
Telephone Number	:	386-777-3721
Fax Number	:	877-325-2429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	09/24/2022

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Directions to “ DR. DAVID BILLMEIER MD” Practice Location

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