Healthcare Provider Details
I. General information
NPI: 1225156938
Provider Name (Legal Business Name): DAVID LEE SPRINKLE PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/27/2007
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4600 SW 46TH CT BLDG 200
OCALA FL
34474-5708
US
IV. Provider business mailing address
4500 NEWBERRY RD
GAINESVILLE FL
32607-2245
US
V. Phone/Fax
- Phone: 352-618-2546
- Fax:
- Phone: 352-618-2546
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | 003266 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | PA9121937 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: