MEDICARE: JOHN E DAVID MD

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
1	207R00000X	Internal Medicine Physician	ME131686	FL

General Provider Information

NPI Number	:	1073596235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN E DAVID MD

Provider Business Mailing Address
First Line	:	810 NW 16TH AVE
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-4012
Country	:	US
Telephone Number	:	352-333-5700
Fax Number	:	352-376-4975

Provider Business Practice Location Address
First Line	:	810 NW 16TH AVE
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-4012
Country	:	US
Telephone Number	:	352-333-5700
Fax Number	:	352-376-4975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	07/21/2022

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Directions to “ JOHN E DAVID MD” Practice Location

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