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NPI Code Detail

MEDICARE: DAVID J MINARD PA C

MEDICARE: DAVID J MINARD PA C
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
1363A00000XPhysician AssistantPA9101363FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346205440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID J MINARD PA C
Provider Business Mailing Address
First Line : PO BOX 862851
Second Line :
City : ORLANDO
State : FL
Zip : 32886-2851
Country : US
Telephone Number : 954-847-4273
Fax Number : 954-847-4245
Provider Business Practice Location Address
First Line : 2415 N ORANGE AVE STE 700
Second Line :
City : ORLANDO
State : FL
Zip : 32804-5521
Country : US
Telephone Number : 407-303-2474
Fax Number : 407-303-0680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 06/07/2018

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Directions to “ DAVID J MINARD PA C” Practice Location

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