Healthcare Provider Details

I. General information

NPI: 1760457477
Provider Name (Legal Business Name): DAVID J NAAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JULIO DAVID NAAR M.D.

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3657 MADACA LN
TAMPA FL
33618-2048
US

IV. Provider business mailing address

PO BOX 241366
MAYFIELD HEIGHTS OH
44124-8366
US

V. Phone/Fax

Practice location:
  • Phone: 800-991-6117
  • Fax:
Mailing address:
  • Phone: 440-641-0433
  • Fax: 440-455-9610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number036.177928
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number40417
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberCDR.0006130
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number223006
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number110375
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberW2449
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number25IA12927000
License Number StateNJ
# 8
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number35.095823
License Number StateOH
# 9
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME177963
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: