Healthcare Provider Details

I. General information

NPI: 1881523165
Provider Name (Legal Business Name): MR. DAVID JOHN CARDOZA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29228 US HIGHWAY 19 N
CLEARWATER FL
33761-2101
US

IV. Provider business mailing address

8012 BLIND PASS RD APT 7
ST PETE BEACH FL
33706-1635
US

V. Phone/Fax

Practice location:
  • Phone: 727-351-4191
  • Fax:
Mailing address:
  • Phone: 508-318-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: