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NPI Code Detail

MEDICARE: DAVID HAROLD OWEN M.D.

MEDICARE: DAVID HAROLD OWEN 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
12086X0206XSurgical Oncology PhysicianME46779FL

General Provider Information

NPI Number : 1750362141
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID HAROLD OWEN M.D.
Provider Business Mailing Address
First Line : 2623 S SEACREST BLVD
Second Line : STE #108
City : BOYNTON BEACH
State : FL
Zip : 33435-7501
Country : US
Telephone Number : 561-733-6565
Fax Number :
Provider Business Practice Location Address
First Line : 2623 S SEACREST BLVD
Second Line : STE #108
City : BOYNTON BEACH
State : FL
Zip : 33435-7501
Country : US
Telephone Number : 561-733-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 06/16/2010

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