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NPI Code Detail

MEDICARE: DR. DAVID IJAC MD

MEDICARE: DR. DAVID IJAC 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
1207R00000XInternal Medicine PhysicianME0050568FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649255951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID IJAC MD
Provider Business Mailing Address
First Line : 7720 BOYNTON BEACH BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-3804
Country : US
Telephone Number : 561-364-4840
Fax Number : 561-364-4068
Provider Business Practice Location Address
First Line : 7720 BOYNTON BEACH BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-3804
Country : US
Telephone Number : 561-364-4840
Fax Number : 561-364-4068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 03/14/2026

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Directions to “ DR. DAVID IJAC MD” Practice Location

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