Provider Demographics
NPI:1073873931
Name:OSSIN, DAVID ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ANDREW
Last Name:OSSIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3438 LAWTON RD STE 2D
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2948
Mailing Address - Country:US
Mailing Address - Phone:407-751-2868
Mailing Address - Fax:407-868-8498
Practice Address - Street 1:3438 LAWTON RD STE 2D
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2948
Practice Address - Country:US
Practice Address - Phone:407-751-2868
Practice Address - Fax:407-868-8498
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-24
Last Update Date:2023-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME129895207V00000X
TXS3559207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty