Healthcare Provider Details

I. General information

NPI: 1780671610
Provider Name (Legal Business Name): DAVID METZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8762
US

IV. Provider business mailing address

4060 SHERIDAN ST SUITE B
HOLLYWOOD FL
33021-3559
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-3000
  • Fax:
Mailing address:
  • Phone: 965-966-3018
  • Fax: 954-966-5249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME91389
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: