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NPI Code Detail

MEDICARE: MICHAEL DAVID

MEDICARE:   MICHAEL  DAVID
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS36011FL

General Provider Information

NPI Number : 1033493077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL DAVID
Provider Business Mailing Address
First Line : 12211 WOODBEND CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-4221
Country : US
Telephone Number : 904-998-8333
Fax Number :
Provider Business Practice Location Address
First Line : 1220 UNIVERSITY BLVD N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-8852
Country : US
Telephone Number : 904-762-6892
Fax Number : 904-762-6897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2011
Last Update Date : 10/10/2011

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Directions to “ MICHAEL DAVID ” Practice Location

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