Healthcare Provider Details

I. General information

NPI: 1336188606
Provider Name (Legal Business Name): DAVID G WEBB A.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231B COMMERCIAL BLVD
LAUDERDALE BY THE SEA FL
33308-4441
US

IV. Provider business mailing address

1823 NE 15TH AVE
FORT LAUDERDALE FL
33305-3267
US

V. Phone/Fax

Practice location:
  • Phone: 954-722-1919
  • Fax:
Mailing address:
  • Phone: 954-736-0444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1944
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: