Provider Demographics
NPI:1093365793
Name:INGLEY, DAVID (CAA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:INGLEY
Suffix:
Gender:M
Credentials:CAA
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Mailing Address - Street 1:10550 BAYMEADOWS RD UNIT 812
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-4550
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10199 SOUTHSIDE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-0757
Practice Address - Country:US
Practice Address - Phone:904-999-2802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-13
Last Update Date:2024-03-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant