MEDICARE: DAVID WILLIAM NUSSEAR 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	207L00000X	Anesthesiology Physician	ME 71217	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00447933	OTHER	FL	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1932144763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID WILLIAM NUSSEAR MD

Provider Business Mailing Address
First Line	:	PO BOX 918982
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-8982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 S ORANGE AVE
Second Line	:	SUITE 400
City	:	ORLANDO
State	:	FL
Zip	:	32806-2154
Country	:	US
Telephone Number	:	407-426-8331
Fax Number	:

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

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	03/06/2008

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Directions to “ DAVID WILLIAM NUSSEAR MD” Practice Location

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