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NPI Code Detail

MEDICARE: DR. DAVID DAHLENBURG MD

MEDICARE: DR. DAVID DAHLENBURG 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
12085R0202XDiagnostic Radiology Physician82571FL

General Provider Information

NPI Number : 1144202185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID DAHLENBURG MD
Provider Business Mailing Address
First Line : 2112 S CONGRESS AVE
Second Line : STE 205
City : PALM SPRINGS
State : FL
Zip : 33406-7670
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2815 S SEACREST BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7934
Country : US
Telephone Number : 561-737-7733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 07/08/2007

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