Healthcare Provider Details

I. General information

NPI: 1346073020
Provider Name (Legal Business Name): PAUL A DAVID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4820 SW 48TH AVE UNIT 106
OCALA FL
34474-6301
US

IV. Provider business mailing address

1930 SW 38TH AVE
OCALA FL
34474-4902
US

V. Phone/Fax

Practice location:
  • Phone: 352-390-1900
  • Fax:
Mailing address:
  • Phone: 352-390-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberME183153
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number57.259415
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMTL600101578
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: