Healthcare Provider Details

I. General information

NPI: 1871583021
Provider Name (Legal Business Name): DAVID J COWIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 05/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7560 RED BUG LAKE RD STE 2014
OVIEDO FL
32765
US

IV. Provider business mailing address

7560 RED BUG LAKE RD STE 2014
OVIEDO FL
32765-6562
US

V. Phone/Fax

Practice location:
  • Phone: 407-392-1531
  • Fax: 407-392-1539
Mailing address:
  • Phone: 407-392-1531
  • Fax: 407-392-1539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME0083338
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: