Healthcare Provider Details

I. General information

NPI: 1700062312
Provider Name (Legal Business Name): DAVID EUGENE PRESTON R.R.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 S 6TH ST
FERNANDINA BEACH FL
32034-3913
US

IV. Provider business mailing address

131 S 6TH ST
FERNANDINA BEACH FL
32034-3913
US

V. Phone/Fax

Practice location:
  • Phone: 904-310-6580
  • Fax: 904-319-6580
Mailing address:
  • Phone: 904-310-6580
  • Fax: 904-319-6580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT9143
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: