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NPI Code Detail

MEDICARE: MR. DAVID MICHAEL DZION

MEDICARE: MR. DAVID MICHAEL DZION
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
1183500000XPharmacistPS25178FL

General Provider Information

NPI Number : 1730783184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID MICHAEL DZION
Provider Business Mailing Address
First Line : 4475 SAN JUAN AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-3357
Country : US
Telephone Number : 904-389-0314
Fax Number : 904-387-3165
Provider Business Practice Location Address
First Line : 4475 SAN JUAN AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-3357
Country : US
Telephone Number : 904-389-0314
Fax Number : 904-387-3165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2020
Last Update Date : 11/25/2020

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Directions to “ MR. DAVID MICHAEL DZION ” Practice Location

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