Provider Demographics
NPI:1033291380
Name:EPPERSON, DAVID MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:EPPERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 ULMERTON RD
Mailing Address - Street 2:SUITE 26
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-3373
Mailing Address - Country:US
Mailing Address - Phone:727-914-4591
Mailing Address - Fax:727-914-4598
Practice Address - Street 1:2325 ULMERTON RD
Practice Address - Street 2:SUITE 26
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-3373
Practice Address - Country:US
Practice Address - Phone:727-914-4591
Practice Address - Fax:727-914-4598
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104981208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation