MEDICARE: DR. DAVID E PANZER 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	2085R0202X	Diagnostic Radiology Physician	ME58284	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1417944158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID E PANZER MD

Provider Business Mailing Address
First Line	:	8850 SOUTHERN BREEZE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-5011
Country	:	US
Telephone Number	:	407-921-7879
Fax Number	:	407-370-2338

Provider Business Practice Location Address
First Line	:	8850 SOUTHERN BREEZE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-5011
Country	:	US
Telephone Number	:	407-921-7879
Fax Number	:	407-370-2338

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	01/30/2024

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