Healthcare Provider Details

I. General information

NPI: 1336465574
Provider Name (Legal Business Name): DAVID PAUL DUNHILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 07/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 S FEDERAL HWY
FORT LAUDERDALE FL
33316-2040
US

IV. Provider business mailing address

1309 S FEDERAL HWY
FORT LAUDERDALE FL
33316-2040
US

V. Phone/Fax

Practice location:
  • Phone: 954-463-4383
  • Fax:
Mailing address:
  • Phone: 404-803-8163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME115596
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: